Kenneth Roger Susman, MD - Fort Bragg, CA

Kenneth Roger Susman, MD

Specialist in Fort Bragg, California

NPI 1962551119

Kenneth Roger Susman is a Specialist based in Fort Bragg, CA. Kenneth Roger Susman practices in Fort Bragg, CA and has the professional credentials of MD. The NPI Number for Kenneth Roger Susman is 1962551119 and holds a License No. G679520 (California).

The current practice location address for Kenneth Roger Susman is 510 Cypress St, Fort Bragg, CA and can be reached out via phone at 707-961-1972 and via fax at 707-961-1978.

Location: 510 Cypress St, Fort Bragg, CA, 95437-5411

NPI Number

1962551119

Provider Name

Kenneth Roger Susman

Credential

Provider Entity Type

Individual

Gender

Male

Address

510 Cypress St, Fort Bragg, CA, 95437-5411

Phone Number

707-961-1972

Fax Number

707-961-1978

Provider Enumeration Date

01/09/2007

Last Update Date

03/08/2024

Address

510 Cypress St

City

Fort Bragg

State

California

Zip

95437-5411

Phone Number

707-961-1972

Fax Number

707-961-1978

Address

510 Cypress St

City

Fort Bragg

State

California

Zip

95437-5411

Phone Number

707-961-1972

Fax Number

707-961-1978

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

G679520 (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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