Kearns, Donald Bokenfohr

Kearns, Donald Bokenfohr is an individual health care provider with primary practice located at 3030 Childrens Way Suite 402, San Diego CA 92123-4232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Kearns, Donald Bokenfohr can be contacted via phone (858) 309-7701.

Contact Information

Primary practice address
3030 Childrens Way Suite 402 San Diego CA 92123-4232
Phone: (858) 309-7701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X C42381 California
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X C42381 California

Profile Details

NPI number 1750452512
LBN Legal business name Kearns, Donald Bokenfohr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Oct 10th, 2011 - about 13 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 1750452512 NPPES
California MEDICAID 00C423810

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