Individual
DR. KENNETH W CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 VISTA WAY, SUITE 200, OCEANSIDE, CA 92056-4510
(760) 941-9440
(760) 941-2790
Mailing address
3998 VISTA WAY, SUITE 200, OCEANSIDE, CA 92056-4510
(760) 941-9440
(760) 941-2790
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G40398
CA
207RC0000X
Cardiovascular Disease Physician
Primary
M-2503
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4986418
—
CA
Enumeration date
07/12/2006
Last updated
11/18/2025
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