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1104900919
KENNETH IAN LIGHT
SAN FRANCISCO, CA
NPI
1104900919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: G35263)
Enumeration Date
2006-10-25
Last Update Date
2022-07-19
Business Address
KENNETH IAN LIGHT M.D.
1700 CALIFORNIA ST SUITE 340
SAN FRANCISCO, CA 94109-4586
Phone number: 415-673-4500
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Mailing Address
KENNETH IAN LIGHT M.D.
13847 E 14TH ST STE 118
SAN LEANDRO, CA 94578-2625
Phone number: 415-673-4500
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