| Kenneth T Roost Md Inc | |
|
1828 El Camino Real #604 Burlingame CA 94010-3103 | |
| (650) 697-9146 | |
| Not Available |
| Full Name | Kenneth T Roost Md Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1828 El Camino Real, Burlingame, California |
| Authorized Official Name and Position | Kenneth Taylor Roost (PRESIDENT) |
| Authorized Official Contact | 6506979146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth T Roost Md Inc 1828 El Camino Real #604 Burlingame CA 94010-3103 Ph: (650) 697-9146 | Kenneth T Roost Md Inc 1828 El Camino Real #604 Burlingame CA 94010-3103 Ph: (650) 697-9146 |
| NPI Number | 1003111410 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003111410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G27727 (California) | Primary |
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