| Kenneth Starr Md Inc | |
|
1320 Van Beurden Dr Ste 103 Los Osos CA 93402-3380 | |
| (626) 797-9977 | |
| (929) 737-8705 |
| Full Name | Kenneth Starr Md Inc |
|---|---|
| Speciality | Case Management |
| Location | 1320 Van Beurden Dr, Los Osos, California |
| Authorized Official Name and Position | Kenneth Gray (INSURANCE COORDINATOR) |
| Authorized Official Contact | 6267979977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Starr Md Inc 295 Mar Vista Dr Los Osos CA 93402-3700 Ph: () - | Kenneth Starr Md Inc 1320 Van Beurden Dr Ste 103 Los Osos CA 93402-3380 Ph: (626) 797-9977 |
| NPI Number | 1255753075 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 01/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255753075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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