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Kenneth Vitale, M.D
NPI 1730176868 · on the registry since 2005 · sole proprietor
Practice
- Address
- 350 Dickinson St
Suite 121
San Diego, CA 92103 - Phone
- (619) 543-2539
- Fax
- (619) 543-2540
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 2081S0010X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-17
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