Search › California › 171M00000X
Kevin Puckett
NPI 1619614807 · on the registry since 2022
Practice
- Address
- 5425 Sierra Vista Ave
Riverside, CA 92505 - Phone
- (951) 299-7645
- Organisation at this address
- Harvest Safe Haven For Boys
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2022-05-20
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