Vitale, Kenneth Craig

Vitale, Kenneth Craig is an sole proprietor health care provider with primary practice located at 350 Dickinson St Suite 121, San Diego CA 92103-1913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Vitale, Kenneth Craig can be contacted via phone (619) 543-2539.

Contact Information

Primary practice address
350 Dickinson St Suite 121 San Diego CA 92103-1913
Phone: (619) 543-2539
Fax: (619) 543-2540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X C132964 California
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X C132964 California

Profile Details

NPI number 1730176868
LBN Legal business name Vitale, Kenneth Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Jan 17th, 2015 - about 9 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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