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Individual

DR. ANTOINE KENNETH KHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
8536 WILSHIRE BLVD STE 102, BEVERLY HILLS, CA 90211-3154
(310) 248-7501
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(734) 718-2716

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.074915
IL
207L00000X
Anesthesiology Physician
Primary
20A20942
CA
390200000X
Student in an Organized Health Care Education/Training Program
125.074915
IL

Other

Enumeration date
03/27/2019
Last updated
12/26/2023
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