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MRS. KYLENE RICHAN DOUGLAS
NPI 1851419147
Specialist in Oakland, CA

Active since March 26, 2007
2570 98TH AVE, OAKLAND, CA 94605(530) 644-3758(530) 644-3782 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Kylene Richan Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KYLENE RICHAN DOUGLAS (NPI 1851419147) is an individual specialist in Oakland, California, licensed in California (5558) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1851419147
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. KYLENE RICHAN DOUGLAS
Location Address2570 98TH AVEOakland, CA 94605-4746
Mailing AddressPo Box 586Camino, CA 95709-0586 · (530) 644-3758 · Fax (530) 644-3782
Phone(530) 644-3758
Fax(530) 644-3782
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851419147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 5558
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2570 98TH AVE, Oakland, CA 94605
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylene Douglas's NPI number?

The NPI number for Kylene Douglas is 1851419147. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Kylene Douglas located?

Kylene Douglas practices at 2570 98th Ave, Oakland, CA 94605. The listed phone number is (530) 644-3758.

What is Kylene Douglas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kylene Douglas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.