Individual provider · Type 1 NPI

Kathleen Decoste

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1679359244 Active

Practice location

1918 University Ave
Berkeley, CA 94704-3264

Call (510) 548-9716 Map

Mailing address

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679359244

Kathleen Decoste's National Provider Identifier is 1679359244, issued on Sep 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Sep 11, 2023.