Kenneth Dale Macknet in Loma Linda - Mohs-micrographic Surgery
Kenneth Dale Macknet - NPI 1922199306
Kenneth Dale Macknet is a Mohs-micrographic Surgery in Loma Linda, California. Kenneth Dale Macknet practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2018-12-24 |
Provider Mailing Address Detail
| Address | 25815 Barton Rd |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 923543894 |
| Phone Number | 9097960224 |
| Fax Number | 9097960225 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | A63594 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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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 Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, 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.