Dr Kenneth Widder, MD is a
Pathology - Anatomic Pathology physician based in Rancho Santa Fe, California. Dr Kenneth Widder is licensed to practice in California (license number G46485) and his current practice location is 16231 El Camino Real, Rancho Santa Fe, California. He can be reached at his office (for appointments etc.) via phone at
(619) 507-9827.
NPI number for Dr Kenneth Widder is 1861885295 and his current mailing address is Po Box 676250, Rancho Santa Fe, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861885295.
Physician's Profile
Full Name | Dr Kenneth Widder |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology |
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Location | 16231 El Camino Real, Rancho Santa Fe, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861885295
- Provider Enumeration Date: 03/10/2015
- Last Update Date: 03/10/2015
Medical Identifiers
Medical identifiers for Dr Kenneth Widder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861885295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | G46485 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Widder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth Widder, MD Po Box 676250, Rancho Santa Fe, CA 92067-6250 Ph: () - | Dr Kenneth Widder, MD 16231 El Camino Real, Rancho Santa Fe, CA 92067 Ph: (619) 507-9827 |
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