MEDICARE: DR. KENNETH SCOTT GUESS PHARM.D., MS PHAM,

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
1	183500000X	Pharmacist	37953	CA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	10042	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	37953	OTHER	CA	PHARMACIST LICENSE
2	APH 10042	OTHER	CA	ADVANCED PRACTICE PHARAMACIST

General Provider Information

NPI Number	:	1982789186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH SCOTT GUESS PHARM.D., MS PHAM,

Provider Business Mailing Address
First Line	:	1673 CORAL DR
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-3433
Country	:	US
Telephone Number	:	805-704-1934
Fax Number	:	805-256-1475

Provider Business Practice Location Address
First Line	:	1673 CORAL DR
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-3433
Country	:	US
Telephone Number	:	805-714-3908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/30/2024

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