Individual provider · Type 1 NPI

Kenneth Victor Miselis, MD

Specialist · Stockton, CA

NPI number 1730154592 Active

Practice location

445 W Poplar St
Stockton, CA 95203-2426

Call (209) 465-5933 Map

Fax (209) 465-2562

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X00G502810 (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 1730154592

Kenneth Victor Miselis, MD's National Provider Identifier is 1730154592, issued on Feb 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stockton, CA. The record was last updated on Mar 23, 2009.