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: July 19, 2026.

  • Individual
  • Female
  • Specialist

About KYLENE DOUGLAS

This page provides the complete NPI Profile along with additional information for Kylene Douglas, a provider established in Oakland, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1851419147 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number 5558 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1851419147 Verify this NPI
Provider Name
MRS. KYLENE RICHAN DOUGLAS
Gender
Female
Entity Type
Individual
Location Address
2570 98TH AVE OAKLAND, CA 94605
Location Phone
(530) 644-3758
Location Fax
(530) 644-3782
Mailing Address
PO BOX 586 CAMINO, CA 95709
Mailing Phone
(530) 644-3758
Mailing Fax
(530) 644-3782
Is Sole Proprietor?
No
Enumeration Date
03-26-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
5558
License State
CA
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851419147, enumerated as an "individual" on March 26, 2007.

The provider is located at 2570 98TH AVE OAKLAND, CA 94605 and the phone number is (530) 644-3758.

Specialist with taxonomy code 174400000X.