Individual
KEVIN RYAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 X ST, SACRAMENTO, CA 95817-2200
(925) 525-4545
Mailing address
5024 V ST, SACRAMENTO, CA 95817-1511
(925) 525-4545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A160146
CA
Other
Enumeration date
10/23/2015
Last updated
02/24/2020
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