Dr. Kenneth Frederick Prosser Iii
M.D. | Pediatrics | Male
Dr. Kenneth Frederick Prosser Iii, M.D. is a Santa Rosa, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kenneth Frederick Prosser Iii is
500 Doyle Park Dr, Suite 100, Santa Rosa, California - 95405-4558. He can be contacted on phone at
707-544-6090 and fax number 707-544-2389.
Dr. Kenneth Frederick Prosser Iii is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kenneth Frederick Prosser Iii is
1770694598 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 09 Nov, 2021.
Dr. Kenneth Frederick Prosser Iii license number is
G70988 for Pediatrics (208000000X) in California.
Dr. Kenneth Frederick Prosser Iii is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kenneth Frederick Prosser Iii basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kenneth Frederick Prosser Iii |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Kenneth Frederick Prosser Iii address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 500 Doyle Park Dr, Suite 100
Santa Rosa, CA, 95405-4558
United States |
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| Phone Number : | 707-544-6090 |
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| Fax Number : | 707-544-2389 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770694598 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 09 Nov, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Frederick Prosser Iii are as mentioned. Primary taxonomy code for Dr. Kenneth Frederick Prosser Iii, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G70988 | CA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | kprosser1658180@oc.providencedirect.org
| No affiliation |
|
| 500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA, 95405-4558
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 500 Doyle Park Dr, Suite 100
Santa Rosa, CA, 95405-4558
United States |
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| Phone Number : | 707-544-6090 |
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| Fax Number : | 707-544-2389 |
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Business Location:
Patients can refer following map for directions to
Dr. Kenneth Frederick Prosser Iii practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.