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Individual

KARA PERCIVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
150 HARBOUR WAY, RICHMOND, CA 94801-3554
(510) 981-4100
Mailing address
2344 6TH ST, BERKELEY, CA 94710-2412
(510) 981-4125

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A163487
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598262701
CA
Enumeration date
04/12/2018
Last updated
10/06/2022
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