Individual
DR. KENNETH ARTHUR ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12186 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 243-2311
(760) 243-2880
Mailing address
12186 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 243-2311
(760) 243-2880
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G43728
CA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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