KENNY J. OMLIN

VACAVILLE, CA
NPI1134207970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A74634)
Enumeration Date2006-11-01
Last Update Date2021-12-29
Business Address
KENNY J. OMLIN MD
1 QUALITY DR
VACAVILLE, CA 95688-9494
Phone number: 707-453-5000
Mailing Address
KENNY J. OMLIN MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262