Ishizue, Kenneth

Ishizue, Kenneth is an individual health care provider with primary practice located at 1441 Constitution Blvd Ste 200 , Salinas CA 93906-3127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ishizue, Kenneth can be contacted via phone (831) 755-4111.

Contact Information

Primary practice address
1441 Constitution Blvd Ste 200 Salinas CA 93906-3127
Phone: (831) 755-4111
Fax: (831) 759-6565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G56343 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G56343 California

Profile Details

NPI number 1518994581
LBN Legal business name Ishizue, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Dec 7th, 2007 - about 17 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 1518994581 NPPES
California MEDICAID 00G563430

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