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Kenneth W Westphal, MD
Specialist in Santa Cruz, California
NPI 1669545174

Kenneth W Westphal is a Specialist based in Los Gatos, CA. Kenneth W Westphal practices in Santa Cruz, CA and has the professional credentials of MD. The NPI Number for Kenneth W Westphal is 1669545174 and holds a License No. G59273 (California).

The current practice location address for Kenneth W Westphal is 1555 Soquel Avenue, Santa Cruz, CA and can be reached out via phone at 831-462-7700 and via fax at 831-462-7607.

Location: 1555 Soquel Avenue, Santa Cruz, CA, 95032-7604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669545174
Provider Name
Kenneth W Westphal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1555 Soquel Avenue, Santa Cruz, CA, 95032-7604
Phone Number
831-462-7700
Fax Number
831-462-7607
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G59273 01 CA CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1555 Soquel Avenue
City
Santa Cruz
State
California
Zip
95065-1705
Phone Number
831-462-7700
Fax Number
831-462-7607
person
Provider Business Mailing Address Details
Address
1555 Soquel Avenue
City
Santa Cruz
State
California
Zip
95065-1705
Phone Number
831-462-7700
Fax Number
831-462-7607
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G59273 (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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