Kenneth Kloos, P.T

NPI 1871591552 · on the registry since 2005 · sole proprietor

Practice

Address: 2241 Sunset Blvd
Suite A
Rocklin, CA 95765
Phone: (916) 435-8950
Fax: (916) 435-8951
Organisation at this address: S.Y.Y Jang Dds Corp
S. Jang Dds Incorporated
S.Y. Jang Dds Corporatiom
Tavallaei, D.M.D., Corporation
Inferred from a shared address, not stated in the registry.

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: 2010-10-14

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