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NPI Code Detail

MEDICARE: DR. KENNETH C KAO PHARM.D.

MEDICARE: DR. KENNETH C KAO PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist57502CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157502OTHERCACA REGISTERED PHARMACIST

General Provider Information

NPI Number : 1447345236
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH C KAO PHARM.D.
Provider Business Mailing Address
First Line : 133 BONITA ST
Second Line : UNIT C
City : ARCADIA
State : CA
Zip : 91006-6416
Country : US
Telephone Number : 626-512-3168
Fax Number :
Provider Business Practice Location Address
First Line : 1515 W MERCED AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3403
Country : US
Telephone Number : 626-962-3685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 08/17/2009

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