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Dr. Kenneth Dale Macknet JR., MD
Dermatology Physician in Loma Linda, California
NPI 1922199306

Kenneth Dale Macknet JR. is a Dermatology Physician based in Loma Linda, CA. Kenneth Dale Macknet JR. practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Kenneth Dale Macknet JR. is 1922199306 and holds a License No. A63594 (California).

The current practice location address for Kenneth Dale Macknet JR. is 25815 Barton Rd, Loma Linda, CA and can be reached out via phone at 909-796-0224 and via fax at 909-796-0225.

Location: 25815 Barton Rd, Loma Linda, CA, 92354-3894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922199306
Provider Name
Kenneth Dale Macknet JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
25815 Barton Rd, Loma Linda, CA, 92354-3894
Phone Number
909-796-0224
Fax Number
909-796-0225
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOA639542 05 CA
756071339 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
25815 Barton Rd
City
Loma Linda
State
California
Zip
92354-3893
Phone Number
909-796-0224
Fax Number
909-796-0225
person
Provider Business Mailing Address Details
Address
25815 Barton Rd
City
Loma Linda
State
California
Zip
92354-3893
Phone Number
909-796-0224
Fax Number
909-796-0225
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
A63594 (California)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
A63594 (California)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Pediatric Dermatology
Taxonomy
207NP0225X
License No.
A63594 (California)
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
A63594 (California)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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