Individual provider · Type 1 NPI

Kylene Richan Douglas

Specialist · Oakland, CA

NPI number 1851419147 Active

Practice location

2570 98th Ave
Oakland, CA 94605-4746

Call (530) 644-3758 Map

Fax (530) 644-3782

Mailing address

PO Box 586
Camino, CA 95709-0586

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5558 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851419147

Kylene Richan Douglas's National Provider Identifier is 1851419147, issued on Mar 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakland, CA. The record was last updated on Nov 1, 2026.