Individual provider · Type 1 NPI
Komal Kenkare, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · La Mesa, CA
NPI number
1114370012
Active
Practice location
4700 Spring St Ste 220
La Mesa, CA 91942-0274
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other practice locations
- 220 Reservoir St Ste 21, Needham, MA 02494-3133 · (781) 449-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95040315 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2300320 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1114370012
Komal Kenkare, PMHNP-BC's National Provider Identifier is 1114370012, issued on Jul 15, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Mesa, CA. The record was last updated on Sep 11, 2026.