Kifune, Michael Dennis

Kifune, Michael Dennis is an individual health care provider with primary practice located at 1333 Highway 49 , San Andreas CA 95249-9618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kifune, Michael Dennis can be contacted via phone (209) 755-1400.

Contact Information

Primary practice address
1333 Highway 49 San Andreas CA 95249-9618
Phone: (209) 755-1400
Fax: (209) 755-1430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G39833 California

Profile Details

NPI number 1578568614
LBN Legal business name Kifune, Michael Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 24th, 2014 - about 10 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 1578568614 NPPES
California MEDICAID 00G398330

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