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Contact Information

KENNESTON CARR, MD
975 SERENO DR
VALLEJO, CA94589-2441
 Phone: 707-651-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for KENNESTON CARR · (Male)

NPI # 1013081330
Status Active
Credentials MD
Entity Individual
Enumeration date 11/20/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G50362
  • CA Medicaid 00G503620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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