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Dr. Louis Kenneth Countryman, MD
Specialist in San Marino, California
NPI 1184612327

Louis Kenneth Countryman is a Specialist based in San Marino, CA. Louis Kenneth Countryman practices in San Marino, CA and has the professional credentials of MD. The NPI Number for Louis Kenneth Countryman is 1184612327 and holds a License No. G5963 (California).

The current practice location address for Louis Kenneth Countryman is 375 Huntington Dr, San Marino, CA and can be reached out via phone at 626-287-9611 and via fax at 626-799-2904.

Location: 375 Huntington Dr, San Marino, CA, 91108-2357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184612327
Provider Name
Louis Kenneth Countryman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
375 Huntington Dr, San Marino, CA, 91108-2357
Phone Number
626-287-9611
Fax Number
626-799-2904
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
375 Huntington Dr
City
San Marino
State
California
Zip
91108-2357
Phone Number
626-287-9611
Fax Number
626-799-2904
person
Provider Business Mailing Address Details
Address
375 Huntington Dr
City
San Marino
State
California
Zip
91108-2357
Phone Number
626-287-9611
Fax Number
626-799-2904
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G5963 (California)
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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