K. D. Macknet, M.d., Inc.
NPI #1083791644 in Loma Linda, California
Provider Information
- NPI Number
- 1083791644
- Entity Type
- Organization
- Organization Name
- K. D. Macknet, M.d., Inc.
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Mar 16, 2017
Practice Location
- Address
- 25815 BARTON ROAD
- Address 2
- SUITE 101
- City
- Loma Linda
- State
- California
- ZIP Code
- 92354-3894
- Phone
- (909) 796-0224
Authorized Official
- Name
- DR. KENNETH D MACKNET JR., M.D.
- Title
- VICE PRESIDENT
- Phone
- (909) 796-0224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Dermatology |
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