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Search › California › Specialist

Kenneth Susman, M.D

NPI 1962551119 · on the registry since 2007 · sole proprietor

Practice

Address
510 Cypress St
Suite B
Fort Bragg, CA 95437
Phone
(707) 961-1972
Fax
(707) 961-1978
Organisation at this address
Jason D Moore
Mendocino Coast Clinics, Inc
Mendocino Coast Clinics, Inc.
William M Mahon & Jeffrey M Kraut
William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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