Provider Demographics
NPI:1174537559
Name:KEARNEY, ROBERT E (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:KEARNEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4520 EXECUTIVE DR
Mailing Address - Street 2:#150
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-3018
Mailing Address - Country:US
Mailing Address - Phone:858-677-9352
Mailing Address - Fax:858-677-9356
Practice Address - Street 1:4520 EXECUTIVE DR
Practice Address - Street 2:#150
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3018
Practice Address - Country:US
Practice Address - Phone:858-677-9352
Practice Address - Fax:858-677-9356
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA6870262086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery