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Individual

DR. KRISTIN CARRIE KANKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4089
Mailing address
142 HILLCREST RD, BERKELEY, CA 94705-2846
(925) 639-5558

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A10440
CA

Other

Enumeration date
12/16/2009
Last updated
02/11/2022
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