Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 687026 | CA |
NPI | 1174537559 |
---|---|
Provider Name | Dr. Robert E Kearney |
First Address | San Diego, CA 92121-3018 |
Second Address | San Diego, CA 92121-3018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/02/2011 |