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NPI Profile for Dr KENNETH P REBONG in SAN JOSE, CA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1326054776 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/31/2006 | |
| Last updated | 04/06/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENNETH P REBONG
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KENNETH P REBONG, MD