Passeri, Kenneth Joseph

Passeri, Kenneth Joseph is an individual health care provider with primary practice located at 2483 Paddock Dr , San Ramon CA 94583-2428. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Passeri, Kenneth Joseph can be contacted via phone (925) 829-4641.

Contact Information

Primary practice address
2483 Paddock Dr San Ramon CA 94583-2428
Phone: (925) 829-4641
Fax: (925) 905-8971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3347 California

Profile Details

NPI number 1700832219
LBN Legal business name Passeri, Kenneth Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 31st, 2023 - about 3 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 1700832219 NPPES
California MEDICAID 000E33470

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