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MR. KENNETH CHARLES ALEXANDER PA
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1174506828
Individual Registrant:MR. KENNETH CHARLES ALEXANDER PA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
13193 CENTRAL AVENUE SUITE 200 CHINO, CA 91710 US
Tel: 909-902-9111 Fax: 909-902-9199
Tel: 909-902-9111 Fax: 909-902-9199
Contact information for business:
13193 CENTRAL AVENUE SUITE 200 CHINO, CA 91710 US
Tel: 909-902-9111 Fax: 909-902-9199
Tel: 909-902-9111 Fax: 909-902-9199
Registration Information:
NPI: 1174506828
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | CA | PA10648 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
