Healthcare Provider Details

I. General information

NPI: 1871702233
Provider Name (Legal Business Name): KENNETH BIEHL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1069 LOS PALOS DR
SALINAS CA
93901-3916
US

IV. Provider business mailing address

1069 LOS PALOS DR
SALINAS CA
93901-3916
US

V. Phone/Fax

Practice location:
  • Phone: 831-758-2724
  • Fax: 831-758-1531
Mailing address:
  • Phone: 831-758-2724
  • Fax: 831-758-1531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA124036
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA124036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: