Keith Kenneth Vaux, MD is a
Medical Genetics - Clinical Genetics (m.d.) physician based in Sonoma, California. Keith Kenneth Vaux is licensed to practice in California (license number A87297) and his current practice location is 617 Broadway Unit 120, Sonoma, California. He can be reached at his office (for appointments etc.) via phone at
(619) 777-8321.
NPI number for Keith Kenneth Vaux is 1740238104 and his current mailing address is 617 Broadway Unit 120, Sonoma, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740238104.
Physician's Profile
| Full Name | Keith Kenneth Vaux |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 617 Broadway Unit 120, Sonoma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740238104
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 11/07/2025
Medical Identifiers
Medical identifiers for Keith Kenneth Vaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740238104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | A87297 (California) | Secondary |
| 208D00000X | General Practice | A87297 (California) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | A87297 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Kenneth Vaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keith Kenneth Vaux, MD
617 Broadway Unit 120,
Sonoma, CA 95476-2402
Ph: (619) 750-8289 | Keith Kenneth Vaux, MD
617 Broadway Unit 120,
Sonoma, CA 95476-2402
Ph: (619) 777-8321 |
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