Kenneth Michael Carlson
MD | Pediatrics | Male
Kenneth Michael Carlson, MD is a Corvallis, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kenneth Michael Carlson is
121 Se Viewmont Ave, Corvallis, Oregon - 97333-1968. He can be contacted on phone at
541-766-3546 and fax number 541-766-6143.
Kenneth Michael Carlson is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Michael Carlson is
1952332702 which was assigned by NPPES on 06 Jul, 2006 and it was last updated on 30 Aug, 2021.
Kenneth Michael Carlson license number is
MD22868 for Pediatrics (208000000X) in Oregon.
Kenneth Michael Carlson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kenneth Michael Carlson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kenneth Michael Carlson |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kenneth Michael Carlson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 121 Se Viewmont Ave
Corvallis, OR, 97333-1968
United States |
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| Phone Number : | 541-766-3546 |
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| Fax Number : | 541-766-6143 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952332702 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jul, 2006 |
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| Last Updated On : | 30 Aug, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Michael Carlson are as mentioned. Primary taxonomy code for Kenneth Michael Carlson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD22868 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth Michael Carlson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 287244 | MEDICAID | OR | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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891 23RD ST NE,
SALEM, OR, 97301-1793
United States | SALEM, OR | 503-364-2181 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2323 Twinberry Ave Se
Salem, OR, 97306-1169
United States |
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| Phone Number : | 503-371-7641 |
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Business Location:
Patients can refer following map for directions to
Kenneth Michael Carlson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.