MR. Kenrick Carlyle Bourne, PA-C
NPI #1063690931 in San Jacinto, California
Provider Information
- NPI Number
- 1063690931
- Entity Type
- Individual
- Name
- MR. Kenrick Carlyle Bourne, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Oct 4, 2024
Practice Location
- Address
- 1695 S SAN JACINTO AVE STE C
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-5103
- Phone
- (951) 330-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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