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Contact Information

KEVIN M KINBACK, MD
333 CORPORATE DR STE 260
LADERA RANCH, CA92694-2180
 Phone: 949-768-2988
 Fax: 949-768-2980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KEVIN M KINBACK · (Male)

NPI Number 1902014780
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2007
Last updated 02/13/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G77412
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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