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Dr. Kenneth Starr, MD
Addiction Medicine (Internal Medicine) Physician in Arroyo Grande, California
NPI 1861431595

Kenneth Starr is an Addiction Medicine (Internal Medicine) Physician based in Templeton, CA and is specialized in Addiction Medicine. Kenneth Starr practices in Arroyo Grande, CA and has the professional credentials of MD. The NPI Number for Kenneth Starr is 1861431595 and holds a License No. MD22323O (California).

The current practice location address for Kenneth Starr is 107 Nelson St, Arroyo Grande, CA and can be reached out via phone at 805-242-1360. You can also correspond with Kenneth Starr through the mailing address at 105 S MAIN ST, TEMPLETON, CA - 93465-9601 (mailing address contact number: 805-434-1869).

Location: 107 Nelson St, Arroyo Grande, CA, 93465-9601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861431595
Provider Name
Kenneth Starr
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
107 Nelson St, Arroyo Grande, CA, 93465-9601
Phone Number
805-242-1360
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H00866 01 CHAMPUS
H00866 01 LIPA
8283574 05 WA
XPY196669 05 CA
H00866 01 GROUP HEALTH
057221014 01 BCBS
288397 05 OR
A032 01 CHAMPUS
institution
Provider Business Practice Location Address Details
Address
107 Nelson St
City
Arroyo Grande
State
California
Zip
93420-3318
Phone Number
805-242-1360
Fax Number
person
Provider Business Mailing Address Details
Address
107 Nelson St
City
Arroyo Grande
State
California
Zip
93420-3318
Phone Number
805-242-1360
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
A105044 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
MD22323O (Oregon)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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