Kenneth Allen Storum in San Diego - Oral And Maxillofacial Pathology
Kenneth Allen Storum - NPI 1366450413
Kenneth Allen Storum is a Oral And Maxillofacial Pathology in San Diego, California. Kenneth Allen Storum practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Kenneth Allen Storum is 1366450413. The last update date is 2007-07-08.
Kenneth Allen Storum's current location address is 2655 Camino Del Rio North #140, San Diego, California. You can contact this provider via phone number 6192827088 and fax number 6192826290. The mailing address for Kenneth Allen Storum is 2655 Camino Del Rio North #140, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Allen Storum |
|---|---|
| Address | 2655 Camino Del Rio North #140, San Diego, California |
| Phone Number | 6192827088 |
| Fax Number | 6192826290 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366450413 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2655 Camino Del Rio North #140 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 92108 |
| Phone Number | 6192827088 |
| Fax Number | 6192826290 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 30774 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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What is the unique 10-digit identifier code assigned to Kenneth Allen Storum by the Centers for Medicare & Medicaid Services?
The Kenneth Allen Storum has been issued the NPI (National Provider Identifier) 1366450413 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kenneth Allen Storum's physical address?
The Kenneth Allen Storum is physically located at 2655 Camino Del Rio North #140, in the city of San Diego, CA, with the postal code 92108.
What is Kenneth Allen Storum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Allen Storum is Oral And Maxillofacial Pathology, and the taxonomy code that classifies this field of practice is 1223P0106X.
When was the Kenneth Allen Storum's 1366450413 issued?
The Kenneth Allen Storum's 1366450413 was issued on 2006-08-04.
When was the Kenneth Allen Storum's information last updated?
The Kenneth Allen Storum's information was last updated on 2007-07-08.
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