KENNIE KWOK (NPI# 1912269945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912269945 |
| Entity Type | Individual |
| Full Name | KENNIE KWOK |
| Credential | DMD |
| Practice Address |
4060 4th Ave Suite 303 San Diego CA 92103-2116 |
| Practice Telephone | 6195430905 |
| Mailing Telephone | 6195430905 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
65162 | CA | Dental Providers |
| Street Address |
4060 4TH AVE SUITE 303 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525299 | John Paul Molenaar | Audiologist | 4060 4th Ave, Ste 410a, San Diego, CA 92103-2121 | 2005-06-01 |
| 1598391740 | Sheena Lee Hays | Registered Nurse | 4060 4th Ave, San Diego, CA 92103-2116 | 2020-03-19 |
| 1336645324 | Kiyon Chung Md, Apc | Internal Medicine | 4060 4th Ave, Suite 650, San Diego, CA 92103-2121 | 2018-03-30 |
| 1003260894 | Erin Dwyer | Nurse Practitioner | 4060 4th Ave, Suite 310, San Diego, CA 92103-2116 | 2016-04-18 |
| 1336515642 | Leslie Monagle | Physical Therapist | 4060 4th Ave, Suite 206, San Diego, CA 92103-2116 | 2015-08-20 |
| 1598008583 | Stewart L. Frank Md, Inc. | Non-Pharmacy Dispensing Site | 4060 4th Ave, Suite 605, San Diego, CA 92103-2116 | 2013-03-28 |
| 1124391974 | Central San Diego Surgery Center Inc. | Clinic/Center | 4060 4th Ave, Suite #120, San Diego, CA 92103-2116 | 2012-02-09 |
| 1366734220 | Joey Allen Clayton | Physician Assistant | 4060 4th Ave, Suite 700, San Diego, CA 92103-2116 | 2011-05-11 |
| 1578869772 | Jason R Hess Plastic Surgery Inc | Surgery | 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 | 2011-02-04 |
| 1205144557 | James A Grant Md Inc | Specialist | 4060 4th Ave, Suite 410, San Diego, CA 92103-2116 | 2010-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073966057 | Kennie Kwok Dmd, Inc | Dentist | 4060 4th Ave Ste 303, San Diego, CA 92103-2120 | 2016-07-14 |
| 1457749723 | Nguyen and Yang Dental Partnership | Dentist | 9855 Erma Rd Ste 110, San Diego, CA 92131-1007 | 2015-01-08 |
| 1447653746 | Mac, Maksim and Yang Dental Partnership A General Partnership | Dentist | 9912 Carmel Mountain Rd, San Diego, CA 92129-2808 | 2014-09-30 |
| 1518396621 | Shivali Gohel Garg | Dentist | 4320 Genesee Ave Ste 203, San Diego, CA 92117 | 2013-11-08 |
| 1013215987 | David Chun-te Yu | Dentist | 3141 Trinity Bay Pl, San Diego, CA 92110-5343 | 2011-03-02 |
| 1619295201 | Khanh V. Nguyen, Dds, Inc. | Dentist | 3570 4th Ave, San Diego, CA 92103-4940 | 2010-05-07 |
| 1720302375 | Evelyn Tarcila Huaman | Dentist | 9040 Friars Road Suite #535, San Diego, CA 92108 | 2010-03-24 |
| 1225200371 | Genevieve Abi-nahed | Dentist | 5210 Balboa Ave Ste A2, San Diego, CA 92117 | 2008-03-28 |
| 1396927299 | Khanh Vu Thuy Nguyen | Dentist | 3737 Moraga Ave Ste A104, San Diego, CA 92117 | 2007-12-03 |
| 1740481456 | George Crow | Dentist | 16253 Pinto Ridge Dr, San Diego, CA 92127-3425 | 2007-05-30 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.