Individual
KENNETH F. BINMOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 VAN NESS AVE RM 31583, SAN FRANCISCO, CA 94109-6919
(415) 600-1151
(415) 447-6330
Mailing address
DEPT 34754, PO BOX 39000, SAN FRANCISCO, CA 94139-0001
(415) 600-1151
(415) 447-6330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
153934
CA
207RG0100X
Gastroenterology Physician
Primary
A049767
CA
207RG0100X
Gastroenterology Physician
A49767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A497670
—
CA
01
—
A049767
STATE LICENSE #
CA
Enumeration date
07/04/2006
Last updated
09/03/2024
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