Individual
KJIRSTEN AYN CARLSON BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2351 CLAY ST STE 512, SAN FRANCISCO, CA 94115-1931
(415) 600-1817
(415) 369-1369
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(415) 600-1817
(415) 369-1369
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A147052
CA
2086X0206X
Surgical Oncology Physician
Primary
A147052
CA
Other
Enumeration date
04/19/2017
Last updated
11/22/2024
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