Gordon, Carrie Kallenbach

Gordon, Carrie Kallenbach is an individual health care provider with primary practice located at 300 Bradford Street Maguire Correctional Facility, Redwood City CA 94063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gordon, Carrie Kallenbach can be contacted via phone (650) 363-4241.

Contact Information

Primary practice address
300 Bradford Street Maguire Correctional Facility Redwood City CA 94063
Phone: (650) 363-4241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12246 California

Profile Details

NPI number 1134498926
LBN Legal business name Gordon, Carrie Kallenbach
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2011
Last updated Sep 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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