Individual provider · Type 1 NPI
Kenneth Baldemor Reyes, FNP-BC
Family Nurse Practitioner · San Diego, CA
NPI number
1083907547
Active
Practice location
438 Camino Del Rio S Ste 203
San Diego, CA 92108-3546
Fax (619) 955-8508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95043997 (CA) |
| Licensed Vocational Nurse | 164X00000X | 223137 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95018998 (CA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1083907547
Kenneth Baldemor Reyes, FNP-BC's National Provider Identifier is 1083907547, issued on May 17, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Jan 10, 2025.