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Individual

KAYLEN DUCKWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808
(559) 579-1744
Mailing address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
01/10/2025
Last updated
04/10/2026
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