Provider Demographics
NPI:1770542268
Name:COLTON, KEVIN FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:FRANCIS
Last Name:COLTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1105 LAS TABLAS RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465
Mailing Address - Country:US
Mailing Address - Phone:805-434-1851
Mailing Address - Fax:805-434-1193
Practice Address - Street 1:1105 LAS TABLAS RD
Practice Address - Street 2:SUITE F
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465
Practice Address - Country:US
Practice Address - Phone:805-434-1851
Practice Address - Fax:805-434-1193
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2010-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG67022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG67022Medicare ID - Type Unspecified
F82411Medicare UPIN