Individual
KEVIN NASRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4860 Y ST STE 3020, SACRAMENTO, CA 95817-2309
(650) 787-3723
Mailing address
4860 Y ST STE 3020, SACRAMENTO, CA 95817-2309
(650) 787-3723
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A20323
CA
208100000X
Physical Medicine & Rehabilitation Physician
20323
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A20323
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2020
Last updated
04/13/2026
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