person
Keenan Sinclair Carriero, DPM
Foot & Ankle Surgery Podiatrist in Encinitas, California
NPI 1366534075

Keenan Sinclair Carriero is a Foot & Ankle Surgery Podiatrist based in Encinitas, CA and is specialized in Foot & Ankle Surgery. Keenan Sinclair Carriero practices in Encinitas, CA and has the professional credentials of DPM. The NPI Number for Keenan Sinclair Carriero is 1366534075 and holds a License No. E4509 (California).

The current practice location address for Keenan Sinclair Carriero is 310 Santa Fe Dr Ste 112, Encinitas, CA and can be reached out via phone at 760-642-7009 and via fax at 760-230-1453.

Location: 310 Santa Fe Dr Ste 112, Encinitas, CA, 92024-5123
person
Provider Profile Details
NPI Number
1366534075
Provider Name
Keenan Sinclair Carriero
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
310 Santa Fe Dr Ste 112, Encinitas, CA, 92024-5123
Phone Number
760-642-7009
Fax Number
760-230-1453
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03-0431018 01 CA TRICARE
ZZZ04918Z 01 CA BLUE SHIELD
GR0093170 05 CA
institution
Provider Business Practice Location Address Details
Address
310 Santa Fe Dr Ste 112
City
State
Zip
92024-5123
Phone Number
760-642-7009
Fax Number
760-230-1453
person
Provider Business Mailing Address Details
Address
310 Santa Fe Dr Ste 112
City
State
Zip
92024-5123
Phone Number
760-642-7009
Fax Number
760-230-1453
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4509 (California)
Definition
Definition to come...
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