Individual
KEVIN P CARNEVALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5313
(909) 361-3061
(909) 677-2113
Mailing address
1800 WESTERN AVE STE 204, SAN BERNARDINO, CA 92411-1353
(909) 474-9952
(909) 474-9951
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A140393
CA
Other
Enumeration date
04/16/2014
Last updated
09/24/2020
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