Organization
KENNETH W. CARR
Active
Other names
Carr Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMMA DORANTES (OFFICE MANAGER)
(760) 941-9440
Entity
Organization
Contact information
Practice address
3231 WARING CT, #O, OCEANSIDE, CA 92056-4510
(760) 941-9440
(760) 941-2790
Mailing address
3231 WARING CT, #O, OCEANSIDE, CA 92056-4510
(760) 941-9440
(760) 941-2790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G040398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4986418
—
CA
Enumeration date
11/12/2007
Last updated
12/02/2010
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