Individual
KEVIN T MARMOLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-6599
(559) 453-8234
Mailing address
PO BOX 11800, FRESNO, CA 93775-1800
(559) 453-6599
(559) 453-8234
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
A89294
CA
Other
Enumeration date
04/11/2007
Last updated
12/15/2021
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