Individual
KIMYATA A CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N WILLARD AVE, SAN JOSE, CA 95126-2815
(559) 469-3946
Mailing address
120 N WILLARD AVE, SAN JOSE, CA 95126-2815
(559) 469-3946
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95361941
CA
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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