Kenneth Dale Macknet in Loma Linda - Dermatology
Kenneth Dale Macknet - NPI 1922199306
Kenneth Dale Macknet is a Dermatology in Loma Linda, California. Kenneth Dale Macknet practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kenneth Dale Macknet is 1922199306. The last update date is 2018-12-24.
Kenneth Dale Macknet's current location address is 25815 Barton Rd, Loma Linda, California. You can contact this provider via phone number 9097960224 and fax number 9097960225. The mailing address for Kenneth Dale Macknet is 25815 Barton Rd, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Dale Macknet |
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Address | 25815 Barton Rd, Loma Linda, California |
Phone Number | 9097960224 |
Fax Number | 9097960225 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1922199306 |
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Provider Enumeration Date | 2006-09-28 |
Last Updated Date | 2018-12-24 |
Provider Mailing Address Detail
Address | 25815 Barton Rd |
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City | Loma Linda |
State | California (CA) |
Post Code | 923543894 |
Phone Number | 9097960224 |
Fax Number | 9097960225 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | A63594 |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
OOA639542 | CA | -- | |
756071339 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Dale Macknet by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Dale Macknet has been assigned the NPI (National Provider Identifier) 1922199306. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kenneth Dale Macknet's physical address?
The Kenneth Dale Macknet is physically located at 25815 Barton Rd, in the city of Loma Linda, CA, with the postal code 923543894.
What is the Kenneth Dale Macknet's area of specialization and corresponding taxonomy classification?
The Kenneth Dale Macknet's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1922199306 to Kenneth Dale Macknet?
The Kenneth Dale Macknet received its 1922199306 assignment from the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the information pertaining to Kenneth Dale Macknet most recently updated or revised?
The details related to Kenneth Dale Macknet, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-24.