Individual
KEVIN NEIL ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10670 WEXFORD ST, SAN DIEGO, CA 92131-3940
(858) 499-2600
(858) 621-4018
Mailing address
10670 WEXFORD ST, SAN DIEGO, CA 92131-3940
(858) 499-2600
(858) 621-4018
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A99518
CA
Other
Enumeration date
01/30/2008
Last updated
06/14/2013
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