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Kevin Innis
NPI 1205590312 · on the registry since 2021
Practice
- Address
- 1801 Third St.
Suite 101
Norco, CA 92860 - Phone
- (951) 777-2178
- Fax
- (951) 797-6855
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California