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Kenneth Ian Light, MD
Specialist in San Francisco, California
NPI 1104900919

Kenneth Ian Light is a Specialist based in San Leandro, CA. Kenneth Ian Light practices in San Francisco, CA and has the professional credentials of MD. The NPI Number for Kenneth Ian Light is 1104900919 and holds a License No. G35263 (California).

The current practice location address for Kenneth Ian Light is 1700 California St, San Francisco, CA and can be reached out via phone at 415-673-4500.

Location: 1700 California St, San Francisco, CA, 94578-2625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104900919
Provider Name
Kenneth Ian Light
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1700 California St, San Francisco, CA, 94578-2625
Phone Number
415-673-4500
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1700 California St
City
San Francisco
State
California
Zip
94109-4586
Phone Number
415-673-4500
Fax Number
person
Provider Business Mailing Address Details
Address
1700 California St
City
San Francisco
State
California
Zip
94109-4586
Phone Number
415-673-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G35263 ()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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