Kingsley, Jeffrey Dean

Kingsley, Jeffrey Dean is an individual health care provider with primary practice located at 825 Delbon Ave , Turlock CA 95382-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kingsley, Jeffrey Dean can be contacted via phone (209) 664-5065.

Contact Information

Primary practice address
825 Delbon Ave Turlock CA 95382-2016
Phone: (209) 664-5065
Fax: (209) 664-5067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23415 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A103298 California

Profile Details

NPI number 1558548255
LBN Legal business name Kingsley, Jeffrey Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Apr 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558548255 NPPES
California Other GR0078680 GROUP MEDICAID

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