Individual provider · Type 1 NPI
Kenneth John Blunt, MD
Specialist · La Jolla, CA
NPI number
1689934168
Active
Practice location
5942 Avenida Chamnez
La Jolla, CA 92037-7402
Fax (858) 459-5977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G21211 (CA) |
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 1689934168
Kenneth John Blunt, MD's National Provider Identifier is 1689934168, issued on May 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Jolla, CA. The record was last updated on May 18, 2012.