Kenneth V. Miselis, M.D. Inc. in Stockton - Specialist
Kenneth V. Miselis, M.D. Inc. - NPI 1962413740
Kenneth V. Miselis, M.D. Inc. is a Specialist in Stockton, California. Kenneth V. Miselis, M.D. Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth V. Miselis, M.D. Inc. is 1962413740. The last update date is 2020-06-17.
Kenneth V. Miselis, M.D. Inc.'s current location address is 445 W Poplar St, Stockton, California. You can contact this provider via phone number 2094655933 and fax number 2094652562. The mailing address for Kenneth V. Miselis, M.D. Inc. is 445 W Poplar St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth V. Miselis, M.D. Inc. |
|---|---|
| Address | 445 W Poplar St, Stockton, California |
| Phone Number | 2094655933 |
| Fax Number | 2094652562 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Miselis Victor Kenneth |
| Credentials | M.D. |
| Telephone Number | 2094655933 |
NPI Number Detail
| NPI Number | 1962413740 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2020-06-17 |
Provider Mailing Address Detail
| Address | 445 W Poplar St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952032426 |
| Phone Number | 2094655933 |
| Fax Number | 2094652562 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G502810 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180033368 | CA | RAILROAD MEDICARE | |
| GR0050600 | CA | -- |
Post Comment/ Review Below
What is the Kenneth V. Miselis, M.D. Inc.'s unique identification number?
The Kenneth V. Miselis, M.D. Inc. has been assigned the NPI (National Provider Identifier) Number 1962413740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kenneth V. Miselis, M.D. Inc.?
The Kenneth V. Miselis, M.D. Inc. is physically situated at 445 W Poplar St, in the city of Stockton, state of CA, with the postal code 952032426.
What is Kenneth V. Miselis, M.D. Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth V. Miselis, M.D. Inc. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date was the 1962413740 assigned to Kenneth V. Miselis, M.D. Inc.?
The Kenneth V. Miselis, M.D. Inc. was issued its 1962413740 on 2006-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kenneth V. Miselis, M.D. Inc. most recently updated or refreshed?
The details pertaining to the Kenneth V. Miselis, M.D. Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-17.
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