Individual
KEVIN A WAITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2430 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 528-8697
(530) 528-8426
Mailing address
2430 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 528-8697
(530) 528-8426
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A7514
CA
Other
Enumeration date
08/02/2006
Last updated
06/05/2015
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