MEDICARE: KENNARD KARLISLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	95193327	CA

General Provider Information

NPI Number	:	1902746258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNARD KARLISLE

Provider Business Mailing Address
First Line	:	2000 ELLIS ST APT 203
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-4028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 ELLIS ST APT 203
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-4028
Country	:	US
Telephone Number	:	415-828-5557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

Similar Medicare Providers

1073506093 — CARL ALAN YAMAMOTO D.C.
Practice Location Address:

5995 MISSION GORGE RD , SUITE B
SAN DIEGO, CA
92120-4028

Practice Phone: 619-584-8490
Practice Fax: 619-584-8101

1427165398 — ROBERT DRURY II DDS
Practice Location Address:

5995 MISSION GORGE RD , STE A
SAN DIEGO, CA
92120-4028

Practice Phone: 760-716-7466
Practice Fax: 619-282-4394

1528179389 — DR. TERESA KRAITH PH.D.
Practice Location Address:

2475 MARSHA WAY , SAN JOSE
SAN JOSE, CA
95125-4028

Practice Phone: 408-445-1735
Practice Fax: 408-445-2013

1851460422 — MRS. LOIS RACHEL WILCO-OWENS M.S., MFT
Practice Location Address:

2461 MARSHA WAY
SAN JOSE, CA
95125-4028

Practice Phone: 408-277-0500
Practice Fax: 408-448-1779

1043353386 — MICHELLE EVA LAMB
Practice Location Address:

310 W SAN AUGUSTINE ST
DEER PARK, TX
77536-4028

Practice Phone: 281-930-0020
Practice Fax: 281-930-8484

1952423360 — YAMAMOTO CHIROPRACTIC, INC.
Practice Location Address:

5995 MISSION GORGE RD , SUITE B
SAN DIEGO, CA
92120-4028

Practice Phone: 619-584-8490
Practice Fax: 619-584-8101

Directions to “ KENNARD KARLISLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.