Kimberly Eyvonne Kjonaas in Stockton - Licensed Psychiatric Technician
Kimberly Eyvonne Kjonaas - NPI 1316060064
Kimberly Eyvonne Kjonaas is a Licensed Psychiatric Technician in Stockton, California. Kimberly Eyvonne Kjonaas practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Kimberly Eyvonne Kjonaas is 1316060064. The last update date is 2007-07-08.
Kimberly Eyvonne Kjonaas's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688686 and fax number 2094682380. The mailing address for Kimberly Eyvonne Kjonaas is 1212 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Eyvonne Kjonaas |
|---|---|
| Address | 1212 N California St, Stockton, California |
| Phone Number | 2094688686 |
| Fax Number | 2094682380 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316060064 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1212 N California St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952021552 |
| Phone Number | 2094688686 |
| Fax Number | 2094682380 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT29059 |
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Definition: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych |
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Post Comment/ Review Below
What is the Kimberly Eyvonne Kjonaas's unique identification number?
The Kimberly Eyvonne Kjonaas has been assigned the NPI (National Provider Identifier) Number 1316060064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kimberly Eyvonne Kjonaas is physically located?
The Kimberly Eyvonne Kjonaas is situated at the following address: 1212 N California St, Stockton, CA 952021552.
What is Kimberly Eyvonne Kjonaas's area of expertise and its corresponding taxonomy classification?
The Kimberly Eyvonne Kjonaas's field of specialization is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kimberly Eyvonne Kjonaas receive its 1316060064 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Eyvonne Kjonaas was assigned its 1316060064 by the Centers for Medicare & Medicaid Services on 2007-04-09.
When was the information related to Kimberly Eyvonne Kjonaas most recently updated or refreshed?
The details pertaining to the Kimberly Eyvonne Kjonaas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.