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Kyndle Carson

Student in an Organized Health Care Education/Training Program in San Quentin, CA. Individual provider (NPI-1).

NPI number1699242529
StatusActive
Last updated in NPPESJun 8, 2026

Details

NPI
1699242529
Entity type
Individual (NPI-1)
Name
Kyndle Carson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2018
Certification date
Jun 8, 2026
Last updated
Jun 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

100 Main Street
San Quentin, CA 94964

Phone 415-454-1460

Mailing address

100 Main Street
San Quentin, CA 94964

Phone 415-454-1460

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