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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN MICHAEL LI, MD

Active

KEVIN MICHAEL LI, MD is a Adolescent Medicine healthcare provider located in SANTA ROSA, California. NPI 1619186764 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · SANTA ROSA, CA

Registration Details

NPI Number
1619186764
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2007 (19.223849133664 yrs)
Last Updated
Aug 7, 2023
Licenses
A98063 (CA)
A98063 (CA)

Practice Information

Address
1300 N DUTTON AVE
SANTA ROSA, CA, 954017112
Browse CA providers · Browse ZIP 95401
Phone
7073965151
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine

Other Adolescent Medicine Providers in SANTA ROSA, CA

Name Credential NPI
DR. RYAN JONATHAN WEI MD 1023674009
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.