Kenneth Craig Vitale in San Diego - Sports Medicine
Kenneth Craig Vitale - NPI 1730176868
Kenneth Craig Vitale is a Sports Medicine in San Diego, California. Kenneth Craig Vitale practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kenneth Craig Vitale is 1730176868. The last update date is 2015-01-17.
Kenneth Craig Vitale's current location address is 350 Dickinson St, San Diego, California. You can contact this provider via phone number 6195432539 and fax number 6195432540. The mailing address for Kenneth Craig Vitale is 350 Dickinson St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Craig Vitale |
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Address | 350 Dickinson St, San Diego, California |
Phone Number | 6195432539 |
Fax Number | 6195432540 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1730176868 |
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Provider Enumeration Date | 2005-10-04 |
Last Updated Date | 2015-01-17 |
Provider Mailing Address Detail
Address | 350 Dickinson St |
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City | San Diego |
State | California (CA) |
Post Code | 921031913 |
Phone Number | 6195432539 |
Fax Number | 6195432540 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 2081S0010X |
Licence No | C132964 |
Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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What is the unique 10-digit identifier code assigned to Kenneth Craig Vitale by the Centers for Medicare & Medicaid Services?
The Kenneth Craig Vitale has been issued the NPI (National Provider Identifier) 1730176868 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kenneth Craig Vitale located?
The Kenneth Craig Vitale is located at 350 Dickinson St, San Diego, CA 921031913.
What is the Kenneth Craig Vitale's area of specialization and corresponding taxonomy classification?
The Kenneth Craig Vitale's specialty field is Sports Medicine, and it falls under the taxonomy code 2081S0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1730176868 to Kenneth Craig Vitale?
The Centers for Medicare & Medicaid Services assigned the 1730176868 to Kenneth Craig Vitale on 2005-10-04.
As of what date was the information pertaining to Kenneth Craig Vitale, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth Craig Vitale, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-17.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY