Carson, Ann Kathryn

Carson, Ann Kathryn is an sole proprietor health care provider with primary practice located at 9261 Fullerton Ave , San Diego CA 92123-3146. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carson, Ann Kathryn can be contacted via phone (619) 516-0221.

Contact Information

Primary practice address
9261 Fullerton Ave San Diego CA 92123-3146
Phone: (619) 516-0221
Fax: (858) 496-9782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12884 California
Nursing Service Providers / Registered Nurse 163W00000X R213694 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1477 California

Profile Details

NPI number 1942251319
LBN Legal business name Carson, Ann Kathryn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Oct 7th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942251319 NPPES
California Other 330490987 92108 A001 TRICARE
California Other OPL128840 TRICARE
California Other 183091 TRICARE
California MEDICAID PSY128840 TRICARE

Popular Providers