Individual
KAYLENE R CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 N. WESTERN AVE STE 204, SAN BERNARDINO, CA 92411-1353
(909) 474-9952
(909) 474-9951
Mailing address
6767 BROCKTON AVE, RIVERSIDE, CA 92506-3023
(951) 823-0441
(951) 823-0447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A124094
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A124094
CA
Other
Enumeration date
04/27/2011
Last updated
04/16/2019
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