K. D. Macknet, M.d., Inc.

NPI 1083791644 - Clinic/Center - 261Q00000X

NPI Details
NPI 1083791644
Enumeration Date 11/01/2006
Last Updated 12/28/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH D KENNETH
Position VICE PRESIDENT
Phone (909) 796-0224
Fax
Practice Location
11306 MOUNTAIN VIEW AVE
SUITE C
LOMA LINDA CA, 92354-3832, US
Phone (909) 796-0224
Fax
Business Location
11306 MOUNTAIN VIEW AVE
SUITE C
LOMA LINDA CA, 92354-3832, US
Phone (909) 796-0224
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1083791644 NPI Number
 

According to our database, K. D. Macknet, M.d., Inc. NPI is 1083791644, taxonomy code is 261Q00000X K. D. Macknet, M.d., Inc. physically located at 11306 Mountain View Ave, Loma Linda CA, 92354-3832. NPI Number 1033115704 has the healthcare provider type.

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1083791644 NPI number is provided on an as is basis without warranty of any kind. 1083791644 is maintained by the National Plan & Provider Enumeration System. The contents of K. D. Macknet, M.d., Inc. are for informational purposes only.