Organization · Type 2 NPI
KSK Nursing Corporation
Psychiatric/Mental Health Nurse Practitioner · Gardena, CA
NPI number
1497503130
Active
Practice location
1875 W Redondo Beach Blvd Ste 308
Gardena, CA 90247-3644
Mailing address
506 Phelan Ln
Redondo Beach, CA 90278-5309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497503130
KSK Nursing Corporation's National Provider Identifier is 1497503130, issued on May 8, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gardena, CA. The record was last updated on Nov 27, 2024.