MRS. KYLENE RICHAN DOUGLAS
NPI 1851419147
Specialist in Oakland, CA
- 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
- Code Navigator
Location Map
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.