Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Frederick Prosser III, MD

Individual provider Pediatrics Physician · NPI 1770694598

Dr. Kenneth Frederick Prosser III, MD is a Pediatrics Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

500 Doyle Park Dr Ste 100
Santa Rosa, CA 95405-4558
Phone: (707) 544-6090
Fax: (707) 544-2389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G70988 (CA)

Record details

NPI number1770694598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

Other providers in Santa Rosa