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

KENNETH V. MISELIS, M.D. INC.

Active Organization

KENNETH V. MISELIS, M.D. INC. is a Specialist organization located in STOCKTON, California. NPI 1962413740 is currently active in the NPPES registry. Verify at CMS.

Specialist · STOCKTON, CA

Registration Details

NPI Number
1962413740
Provider Type
Organization
NPI Issued
Aug 10, 2006 (20.00026149249 yrs)
Last Updated
Jun 17, 2020
License
G502810 (CA)

Practice Information

Address
445 W POPLAR ST
STOCKTON, CA, 952032426
Browse CA providers · Browse ZIP 95203
Phone
2094655933
Fax
2094652562
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.