Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kylene Richan Douglas

Individual provider Specialist · NPI 1851419147

Mrs. Kylene Richan Douglas is a Specialist in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

2570 98th Ave
Oakland, CA 94605-4746
Phone: (530) 644-3758
Fax: (530) 644-3782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5558 (CA)

Record details

NPI number1851419147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 8, 2007

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