Son, Kenneth Soo

Son, Kenneth Soo is an individual health care provider with primary practice located at 3315 Watt Ave , Sacramento CA 95821-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Son, Kenneth Soo can be contacted via phone (916) 481-6800.

Contact Information

Primary practice address
3315 Watt Ave Sacramento CA 95821-3600
Phone: (916) 481-6800
Fax: (916) 481-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G59673 California

Profile Details

NPI number 1316931363
LBN Legal business name Son, Kenneth Soo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 8th, 2010 - about 16 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 1316931363 NPPES
California MEDICAID GR0028370

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