DR. Kenneth J Phenow, MD, MPH

NPI #1174144653 in Oakdale, California

Provider Information

NPI Number
1174144653
Entity Type
Individual
Name
DR. Kenneth J Phenow, MD, MPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
MD, MPH
Enumeration Date
May 6, 2020
Last Updated
May 6, 2020

Practice Location

Address
9800 RODDEN RD
ZIP Code
95361-9593
Phone
(336) 202-6826

Specialties & Taxonomy Codes

Specialty
Family Medicine

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