| Kern County Medical Clinic,inc. | |
|
2222 19th Street Bakersfield CA 93301 | |
| (661) 325-2448 | |
| (661) 325-7425 |
| Full Name | Kern County Medical Clinic,inc. |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 2222 19th Street, Bakersfield, California |
| Authorized Official Name and Position | See Ruern Kitt (PHYSICIAN) |
| Authorized Official Contact | 6613252448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kern County Medical Clinic,inc. 2222 19th Street Bakersfield CA 93301 Ph: (661) 325-2448 | Kern County Medical Clinic,inc. 2222 19th Street Bakersfield CA 93301 Ph: (661) 325-2448 |
| NPI Number | 1477698686 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 02/04/2013 |
| Medicare PECOS PAC ID | 1759430630 |
|---|---|
| Medicare Enrollment ID | O20090526000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477698686 | NPI | - | NPPES |
| 00C412620 | Medicaid | CA | |
| BS111A | Other | MEDICARE PTAN | |
| 1710091749 | Other | CA | NPI PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | C41262 (California) | Secondary |
| 207K00000X | Allergy & Immunology | C41262 (California) | Primary |
| Provider Name | See-ruern S Kitt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710091749 PECOS PAC ID: 5395894273 Enrollment ID: I20090526000123 |
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