BLAKE KINSEL

SAN FRANCISCO, CA
NPI1356924831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  23045)
Additional Taxonomies207Q00000X Family Medicine
(Licence: OH  34.017089)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-03
Last Update Date2024-09-22
Business Address
BLAKE KINSEL DO
1600 OWENS ST
SAN FRANCISCO, CA 94158-2261
Phone number: 415-833-2200
Mailing Address
BLAKE KINSEL DO
181 BARTLETT ST APT 5
SAN FRANCISCO, CA 94110-3060
Phone number: 419-961-6746