Kenneth Bernard Gandy M.A.

NPI 1114046240 - Specialist - 174400000X

NPI Details
NPI 1114046240
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3004 TWIN CREEKS LN
ROCKLIN CA, 95677-3629, US
Phone (916) 797-3789
Fax
Business Location
3004 TWIN CREEKS LN
ROCKLIN CA, 95677-3629, US
Phone (916) 797-3789
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Mr. Kenneth Bernard Gandy M.A. NPI is 1114046240, taxonomy code is 174400000X Kenneth Bernard Gandy M.A. physically located at 3004 Twin Creeks Ln, Rocklin CA, 95677-3629. NPI Number Kenneth Bernard Gandy M.A. has the Individual type.

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1114046240 NPI number is provided on an as is basis without warranty of any kind. 1114046240 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Bernard Gandy M.A. are for informational purposes only.