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Search › California › Physician Assistant

Kenrick Bourne, PA-C

NPI 1063690931 · on the registry since 2008 · sole proprietor

Practice

Address
1695 S San Jacinto Ave Ste C
San Jacinto, CA 92583
Phone
(951) 330-3100
Fax
(951) 380-8596
Organisation at this address
Gk Urgicare,Inc
Gk Urgi Care Inc
Deep Muko Dds, Inc.
Medical Wellness Clinic
So Cal Image Centers Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-04
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California