Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH GRANT LUCERO, M.D.
Active Sole ProprietorDR. KENNETH GRANT LUCERO, M.D. is a Family Medicine healthcare provider located in BLYTHE, California. NPI 1417079989 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLYTHE, CA
Registration Details
- NPI Number
- 1417079989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.181323054457 yrs)
- Last Updated
- Feb 14, 2025
- License
-
G60508 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1415 W HOBSONWAYBLYTHE, CA, 922251479Browse CA providers · Browse ZIP 92225
- Phone
- 7609224981
- Fax
- 7609224442
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BLYTHE, CA
| Name | Credential | NPI |
|---|---|---|
| LEON PETER Y CHUA | M.D. | 1689776775 |
| LEONEL L RODRIGUEZ | MD | 1912098872 |
| EMMANUEL R MOFU | MD | 1598895955 |
| NICKOLAS LLOYD LIND | M.D. | 1689864340 |
| DAVID BROOKS | MD | 1568642221 |
| MORGAN LEE NOWLIN | DO | 1073140778 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.