Kevin Ray Chesebro in Granite Bay - Surgery

Kevin Ray Chesebro - NPI 1750570123

Kevin Ray Chesebro is a Surgery in Granite Bay, California. Kevin Ray Chesebro practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kevin Ray Chesebro is 1750570123. The last update date is 2007-10-22.

Kevin Ray Chesebro's current location address is 9675 Swan Lake Dr, Granite Bay, California. You can contact this provider via phone number 9167971963 and fax number 9167971963. The mailing address for Kevin Ray Chesebro is 9675 Swan Lake Dr, Granite Bay, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Ray Chesebro
Address 9675 Swan Lake Dr, Granite Bay, California
Phone Number 9167971963
Fax Number 9167971963
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1750570123
Provider Enumeration Date 2007-10-22
Last Updated Date 2007-10-22

Provider Mailing Address Detail

Address 9675 Swan Lake Dr
City Granite Bay
State California (CA)
Post Code 957466608
Phone Number 9167971963
Fax Number 9167971963

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No G85433
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Kevin Ray Chesebro

What is the Kevin Ray Chesebro's 1750570123?

The Kevin Ray Chesebro's NPI (National Provider Identifier) Number is 1750570123. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kevin Ray Chesebro is geographically located?

The Kevin Ray Chesebro is physically situated at the following location: 9675 Swan Lake Dr, Granite Bay, CA, 957466608.

What is the Kevin Ray Chesebro's specialty and taxonomy code?

The Kevin Ray Chesebro's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

On what date did the Kevin Ray Chesebro receive the assignment of its 1750570123 from the Centers for Medicare & Medicaid Services?

The Kevin Ray Chesebro was issued its 1750570123 by the Centers for Medicare & Medicaid Services on 2007-10-22.

When was the information regarding Kevin Ray Chesebro, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kevin Ray Chesebro, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-22.

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