Individual provider · NPI-1

Dr. Kenneth Dean Bird, MD

Preventive Medicine, Public Health & General Preventive Medicine · Fresno, CA

NPI number1124193388
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124193388
Entity type
Individual (NPI-1)
Name
Dr. Kenneth Dean Bird
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 22, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0901X Preventive Medicine, Public Health & General Preventive MedicineC39995CAYes

Practice location

1221 Fulton Mall
Fresno, CA 93721-1915

Phone 559-445-3413

Mailing address

1755 W Browning Ave
Fresno, CA 93711-2310

Phone 559-244-1467

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