Kenneth Starr MD INC
NPI #1255753075 in Los Osos, California
Provider Information
- NPI Number
- 1255753075
- Entity Type
- Organization
- Organization Name
- Kenneth Starr MD INC
- Primary Specialty
- Case Management
- Enumeration Date
- Jan 14, 2014
- Last Updated
- Jan 14, 2014
Practice Location
- Address
- 1320 VAN BEURDEN DR
- Address 2
- STE 103
- City
- Los Osos
- State
- California
- ZIP Code
- 93402-3380
- Phone
- (626) 797-9977
Authorized Official
- Name
- KENNETH GRAY
- Title
- INSURANCE COORDINATOR
- Phone
- (626) 797-9977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Case Management |
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