Individual
KEVAN ALEXANDER MCCARTEN-GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 52ND ST, DEPARTMENT OF EMERGENCY MEDICINE, OAKLAND, CA 94609-1809
(510) 428-3259
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3259
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G78392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5157102
—
NJ
05
—
GR0095780
—
CA
Enumeration date
07/24/2006
Last updated
12/07/2021
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