Kimkisha Shupe in Ventura - Licensed Vocational Nurse
Kimkisha Shupe - NPI 1205036522
Kimkisha Shupe is a Licensed Vocational Nurse in Ventura, California. Kimkisha Shupe practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Kimkisha Shupe is 1205036522. The last update date is 2007-07-24.
Kimkisha Shupe's current location address is 9756 Trenton Ln Apt E, Ventura, California. You can contact this provider via phone number 8056427033 and fax number 8056421629. The mailing address for Kimkisha Shupe is 9756 Trenton Ln Apt E, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimkisha Shupe |
|---|---|
| Address | 9756 Trenton Ln Apt E, Ventura, California |
| Phone Number | 8056427033 |
| Fax Number | 8056421629 |
| Sole Proprietor | N |
| Credentials | LVN |
NPI Number Detail
| NPI Number | 1205036522 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
| Address | 9756 Trenton Ln Apt E |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930043712 |
| Phone Number | 8056427033 |
| Fax Number | 8056421629 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Vocational Nurse |
|---|---|
| Taxonomy | 164X00000X |
| Licence No | 213716 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from |
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What is the unique provider identifier assigned to Kimkisha Shupe?
The Kimkisha Shupe has been issued the NPI (National Provider Identifier) 1205036522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kimkisha Shupe is physically located?
The Kimkisha Shupe is physically situated at the following address: 9756 Trenton Ln Apt E, Ventura, CA, 930043712.
What is the Kimkisha Shupe's specialty and taxonomy code?
The Kimkisha Shupe's specialty is Licensed Vocational Nurse, and the corresponding taxonomy code is 164X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205036522 to Kimkisha Shupe?
The Kimkisha Shupe received its 1205036522 assignment from the Centers for Medicare & Medicaid Services on 2007-07-24.
As of what date were the details pertaining to Kimkisha Shupe last refreshed?
The information related to the Kimkisha Shupe, including its address, specialty, and other relevant details, was last updated on 2007-07-24.
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