Organization · Type 2 NPI

Kenneth V. Miselis, M.d. Inc.

Specialist · Stockton, CA

NPI number 1962413740 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 174400000XG502810 (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 1962413740

Kenneth V. Miselis, M.d. Inc.'s National Provider Identifier is 1962413740, issued on Aug 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stockton, CA. The record was last updated on Jun 17, 2020.