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Contact Information

KENNETH F SPAULDING JR, MD
29525 CANWOOD ST
SUITE 214
AGOURA HILLS, CA91301-4233
 Phone: 818-706-1966
 Fax: 818-706-9857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KENNETH F SPAULDING JR · (Male)

NPI # 1760404073
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G25700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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