Healthcare Provider Details

I. General information

NPI: 1144482050
Provider Name (Legal Business Name): KYLENE PRING DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2191 MARKET ST SUITE C
SAN FRANCISCO CA
94114-1399
US

IV. Provider business mailing address

3727 BUCHANAN ST SUITE 205
SAN FRANCISCO CA
94123-5410
US

V. Phone/Fax

Practice location:
  • Phone: 415-861-1856
  • Fax: 415-839-8294
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT29863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: