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

KENNETH CRAIG VITALE, M.D.

Active Sole Proprietor

KENNETH CRAIG VITALE, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in SAN DIEGO, California. NPI 1730176868 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · SAN DIEGO, CA

Registration Details

NPI Number
1730176868
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2005 (20.67932645944 yrs)
Last Updated
Jan 17, 2015
Licenses
C132964 (CA)
C132964 (CA)
Sole Proprietor
Yes

Practice Information

Address
350 DICKINSON ST
SUITE 121
SAN DIEGO, CA, 921031913
Browse CA providers · Browse ZIP 92103
Phone
6195432539
Fax
6195432540
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
Additional Specialty
Sports Medicine (PM&R)

Other Physical Medicine & Rehabilitation Providers in SAN DIEGO, CA

Name Credential NPI
JAMES DONALD FONTAINE M.D. 1013913755
DR. ANDREW J SKALSKY M.D. 1487635272
ROBERT SHEU MD 1508847039
DR. DOUGLAS G CHANG M.D 1962450031
DR. AMY LOUISE MAGNUSSON M.D. 1841246311
DR. JOHN D'ANDREA M.D. 1811935141
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.