Provider Demographics
NPI:1730513128
Name:KAHRS, CARMEN A (BSN)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:A
Last Name:KAHRS
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5099 W WILSON ST
Mailing Address - Street 2:APT 236
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-3275
Mailing Address - Country:US
Mailing Address - Phone:909-723-3169
Mailing Address - Fax:
Practice Address - Street 1:5099 W WILSON ST
Practice Address - Street 2:APT 236
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-3275
Practice Address - Country:US
Practice Address - Phone:909-723-3169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA789627163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management