Kenneth Frederick Prosser in Santa Rosa - Pediatrics

Kenneth Frederick Prosser - NPI 1770694598

Kenneth Frederick Prosser is a Pediatrics in Santa Rosa, California. Kenneth Frederick Prosser practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kenneth Frederick Prosser is 1770694598. The last update date is 2021-11-09.

Kenneth Frederick Prosser's current location address is 500 Doyle Park Dr, Santa Rosa, California. You can contact this provider via phone number 7075446090 and fax number 7075442389. The mailing address for Kenneth Frederick Prosser is 500 Doyle Park Dr, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Frederick Prosser
Address 500 Doyle Park Dr, Santa Rosa, California
Phone Number 7075446090
Fax Number 7075442389
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1770694598
Provider Enumeration Date 2006-08-31
Last Updated Date 2021-11-09

Provider Mailing Address Detail

Address 500 Doyle Park Dr
City Santa Rosa
State California (CA)
Post Code 954054558
Phone Number 7075446090
Fax Number 7075442389

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G70988
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Kenneth Frederick Prosser

What is the unique 10-digit identification code assigned to Kenneth Frederick Prosser by the Centers for Medicare & Medicaid Services?

The Kenneth Frederick Prosser has been issued the NPI (National Provider Identifier) 1770694598, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kenneth Frederick Prosser's facilities are geographically located?

The facilities of Kenneth Frederick Prosser are physically situated at the following location: 500 Doyle Park Dr, Santa Rosa, CA, 954054558.

What is Kenneth Frederick Prosser's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth Frederick Prosser is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

When did the Kenneth Frederick Prosser receive its 1770694598?

The Kenneth Frederick Prosser was issued its 1770694598 on 2006-08-31, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Kenneth Frederick Prosser most recently updated or revised?

The details related to Kenneth Frederick Prosser, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-09.

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