Individual provider · Type 1 NPI
Kyle Carlson
Addiction (Substance Use Disorder) Registered Nurse · Tarzana, CA
NPI number
1174197446
Active
Practice location
18646 Oxnard St
Tarzana, CA 91356-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 356477 (CA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1174197446
Kyle Carlson's National Provider Identifier is 1174197446, issued on May 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Tarzana, CA. The record was last updated on May 19, 2021.