| Doctor Name: | DR. KENNETH WIDDER |
| NPI Number: | 1861885295 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G46485 |
| Business Practice Address: | 16231 El Camino Real Rancho Santa Fe, CA - 92067 |
| Business Phone Number: | 6195079827 |
| Business Fax Number: | |
| Mailing Address: | Po Box 676250, RANCHO SANTA FE |
| State: | CA |
| Postal Code: | 920676250 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2015 |
| NPI Last Update Date: | 03/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207ZP0101X |
| License Number: | G46485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pathology |
| Taxonomy Specialization: | Anatomic Pathology |
| Taxonomy Definition: | A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |