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Individual

DR. KENT STEVEN CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9460 N NAME UNO STE 210, GILROY, CA 95020-3532
(408) 847-0888
(408) 847-1257
Mailing address
9460 N NAME UNO STE 210, GILROY, CA 95020-3532
(408) 847-0888

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G30260
CA
207N00000X
Dermatology Physician
Primary
G30260
CA

Other

Enumeration date
05/19/2006
Last updated
11/06/2020
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