Individual
KENT A FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5471 KEARNY VILLA RD., SUITE 200, SAN DIEGO, CA 92123-1143
(858) 571-0606
(858) 571-1933
Mailing address
5471 KEARNY VILLA RD., SUITE 200, SAN DIEGO, CA 92123-1143
(858) 571-0606
(858) 571-1933
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E3609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WE3609A
MEDICARE PROVIDER ID
CA
Enumeration date
08/31/2006
Last updated
04/19/2010
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