Individual provider · Type 1 NPI

Kenneth Ian Light, MD

Specialist · San Francisco, CA

NPI number 1104900919 Active

Practice location

1700 California St, Suite 340
San Francisco, CA 94109-4586

Call (415) 673-4500 Map

Mailing address

13847 E 14th St Ste 118
San Leandro, CA 94578-2625

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG35263

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104900919

Kenneth Ian Light, MD's National Provider Identifier is 1104900919, issued on Oct 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 19, 2022.