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Mr. Kenneth Wayne Dudley
Rehabilitation Practitioner in Fullerton, California
NPI 1952630485

Kenneth Wayne Dudley is a Rehabilitation Practitioner based in Fullerton, CA. Kenneth Wayne Dudley practices in Fullerton, CA. The NPI Number for Kenneth Wayne Dudley is 1952630485 and holds a License No. (California).

The current practice location address for Kenneth Wayne Dudley is 100 E Valley View Dr, Fullerton, CA and can be reached out via phone at 714-680-8257 and via fax at 714-680-8207.

Location: 100 E Valley View Dr, Fullerton, CA, 92832-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952630485
Provider Name
Kenneth Wayne Dudley
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 E Valley View Dr, Fullerton, CA, 92832-1321
Phone Number
714-680-8257
Fax Number
714-680-8207
Provider Enumeration Date
12/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 E Valley View Dr
City
Fullerton
State
California
Zip
92832-1321
Phone Number
714-680-8257
Fax Number
714-680-8207
person
Provider Business Mailing Address Details
Address
100 E Valley View Dr
City
Fullerton
State
California
Zip
92832-1321
Phone Number
714-680-8257
Fax Number
714-680-8207
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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