1922199306 Dr. Kenneth Dale Macknet Jr., M.D.

Dermatology Physician

Active

Basic Information

Full Name
Dr. Kenneth Dale Macknet Jr., M.D.
Gender
Male
Enumeration Date
September 28, 2006
Last Update
December 24, 2018

Practice Location

Address
25815 BARTON RD
SUITE 101
LOMA LINDA, CA 923543893
Phone
(909) 796-0224
Fax
(909) 796-0225

Mailing Address

Address
25815 BARTON RD
STE 101
LOMA LINDA, CA 923543894
Phone
(909) 796-0224
Fax
(909) 796-0225

Specialties & Taxonomies

Specialty Code Classification License State Primary
MOHS-Micrographic Surgery Physician
MOHS-Micrographic Surgery
207ND0101X Dermatology A63594 CA No
Pediatric Dermatology Physician
Pediatric Dermatology
207NP0225X Dermatology A63594 CA No
Procedural Dermatology Physician
Procedural Dermatology
207NS0135X Dermatology A63594 CA No
Dermatology Physician
207N00000X Dermatology A63594 CA Primary

Other Identifiers

Identifier Type State Issuer
OOA639542 05 CA N/A
756071339 01 CA RAILROAD MEDICARE

Frequently Asked Questions

What is Dr. Kenneth Dale Macknet Jr., M.D.'s NPI number?
Dr. Kenneth Dale Macknet Jr., M.D.'s NPI number is 1922199306.
Which doctor has NPI number 1922199306?
The doctor with NPI number 1922199306 is Dr. Kenneth Dale Macknet Jr., M.D..
What is Dr. Kenneth Dale Macknet Jr., M.D.'s practice address?
Dr. Kenneth Dale Macknet Jr., M.D.'s practice address is 25815 BARTON RD, SUITE 101, LOMA LINDA, CA, 923543893.
Which doctor practices at 25815 BARTON RD, SUITE 101, LOMA LINDA, CA, 923543893?
Dr. Kenneth Dale Macknet Jr., M.D. practices at 25815 BARTON RD, SUITE 101, LOMA LINDA, CA, 923543893.
What is Dr. Kenneth Dale Macknet Jr., M.D.'s phone number?
Dr. Kenneth Dale Macknet Jr., M.D.'s phone number is (909) 796-0224.
Who is (909) 796-0224?
(909) 796-0224 is the phone number for Dr. Kenneth Dale Macknet Jr., M.D..
What is Dr. Kenneth Dale Macknet Jr., M.D.'s specialty?
Dr. Kenneth Dale Macknet Jr., M.D.'s specialty is Dermatology Physician.
What type of doctor is Dr. Kenneth Dale Macknet Jr., M.D.?
Dr. Kenneth Dale Macknet Jr., M.D. is a Dermatology Physician.
Is Dr. Kenneth Dale Macknet Jr., M.D. a Dermatology?
Yes, Dr. Kenneth Dale Macknet Jr., M.D. is a Dermatology.
Is Dr. Kenneth Dale Macknet Jr., M.D. still practicing?
Yes, Dr. Kenneth Dale Macknet Jr., M.D. is currently practicing.
Is Dr. Kenneth Dale Macknet Jr., M.D. accepting new patients?
Dr. Kenneth Dale Macknet Jr., M.D. may be accepting new patients. Please call their office at (909) 796-0224 to inquire about availability.
Is NPI 1922199306 still active?
Yes, NPI 1922199306 is currently active.
Where does Dr. Kenneth Dale Macknet Jr., M.D. practice?
Dr. Kenneth Dale Macknet Jr., M.D. practices in LOMA LINDA, CA.
Is Dr. Kenneth Dale Macknet Jr., M.D. a male or female doctor?
Dr. Kenneth Dale Macknet Jr., M.D. is a male doctor.