Kenneth T. Lopez in Santa Rosa - Podiatrist

Kenneth T. Lopez - NPI 1962580530

Kenneth T. Lopez is a Podiatrist in Santa Rosa, California. Kenneth T. Lopez practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kenneth T. Lopez is 1962580530. The last update date is 2021-12-09.

Kenneth T. Lopez's current location address is 401 Bicentennial Way, Santa Rosa, California. You can contact this provider via phone number 7075714000. The mailing address for Kenneth T. Lopez is 401 Bicentennial Way, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth T. Lopez
Address 401 Bicentennial Way, Santa Rosa, California
Phone Number 7075714000
Fax Number
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1962580530
Provider Enumeration Date 2006-11-01
Last Updated Date 2021-12-09

Provider Mailing Address Detail

Address 401 Bicentennial Way
City Santa Rosa
State California (CA)
Post Code 954032149
Phone Number 7075714000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E4638
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

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FAQs about Kenneth T. Lopez

What is the Kenneth T. Lopez's unique identification number?

The Kenneth T. Lopez has been assigned the NPI (National Provider Identifier) Number 1962580530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Kenneth T. Lopez?

The Kenneth T. Lopez is situated at 401 Bicentennial Way, in the city of Santa Rosa, state of CA, with the zip code 954032149.

What is Kenneth T. Lopez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth T. Lopez is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

When did the Kenneth T. Lopez receive its 1962580530?

The Kenneth T. Lopez was issued its 1962580530 on 2006-11-01, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Kenneth T. Lopez most recently updated or revised?

The information pertaining to Kenneth T. Lopez, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-09.

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