Individual
DR. KENNETH BURTON KAISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2555 E CHAPMAN AVE STE 617, FULLERTON, CA 92831-3621
(714) 992-4656
Mailing address
2555 E CHAPMAN AVE STE 617, FULLERTON, CA 92831-3621
(714) 992-4656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10635
CA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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