Kenneth Earl Averill in Santa Cruz - Diagnostic Radiology
Kenneth Earl Averill - NPI 1538182712
Kenneth Earl Averill is a Diagnostic Radiology in Santa Cruz, California. Kenneth Earl Averill practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kenneth Earl Averill is 1538182712. The last update date is 2008-05-09.
Kenneth Earl Averill's current location address is 1661 Soquel Dr, Santa Cruz, California. You can contact this provider via phone number 8314767711 and fax number 8314766189. The mailing address for Kenneth Earl Averill is 1661 Soquel Dr, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Earl Averill |
|---|---|
| Address | 1661 Soquel Dr, Santa Cruz, California |
| Phone Number | 8314767711 |
| Fax Number | 8314766189 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538182712 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 1661 Soquel Dr |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950651709 |
| Phone Number | 8314767711 |
| Fax Number | 8314766189 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G68088 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9680880 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Earl Averill?
The Kenneth Earl Averill has been issued the NPI (National Provider Identifier) 1538182712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth Earl Averill?
The Kenneth Earl Averill is situated at 1661 Soquel Dr, in the city of Santa Cruz, state of CA, with the zip code 950651709.
What is Kenneth Earl Averill's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Earl Averill's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Kenneth Earl Averill receive its 1538182712 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Earl Averill was assigned its 1538182712 by the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the Kenneth Earl Averill's information last updated?
The Kenneth Earl Averill's information was last updated on 2008-05-09.
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