Kanokwan Kultan
Nurse Practitioner (Acute Care)

Address: 15850 Babcock St, San Diego, CA 92127-3680
Phone: 8583448536

Kanokwan Kultan (NPI# 1063028298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1063028298
Entity Type Individual
Full Name Kanokwan Kultan
Gender Female
Practice Address 15850 Babcock St
San Diego
CA 92127-3680
Practice Telephone 8583448536
Mailing Address 15850 Babcock St
San Diego
CA 92127-3680
Mailing Telephone 8583448536
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-09-22
Last Update Date 2020-09-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2100X Nurse Practitioner · Acute Care Physician Assistants & Advanced Practice Nursing Providers 95015361 CA

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1689004327 Carol Joy Bender Nurse Practitioner 838 G St, San Diego, CA 92101-6421 2013-11-15
1922230747 Jonathan Frederick Mack Nurse Practitioner 6822 Lake Ct, San Diego, CA 92111-7023 2009-08-12
1730357229 Michael Andrew Palacio Nurse Practitioner 7625 Mesa College Dr Ste 315a, San Diego, CA 92111-5343 2008-02-19
1447462130 Barbara Rose Lome Nurse Practitioner Scripps Mercy Hospital- Trauma Dept, 4077 Fifth Avenue, San Diego, CA 92104 2007-05-04
1144267642 Darlene Mcmiddleton Nurse Practitioner 1963 4th Ave, San Diego, CA 92101-2394 2006-06-01
1063040384 Chelsea Elizabeth Roche Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103-9000 2020-03-31
1811543622 Alexandria Diane Chavez Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103 2019-08-16
1689232977 Melissa Garth Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103-9000 2019-05-31
1104346022 Nicole Marie Murphy Nurse Practitioner 7801 Mission Center Ct, Suite 250, San Diego, CA 92108 2017-06-21
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Office Location

Street Address 15850 BABCOCK ST
City SAN DIEGO
State CA
Zip Code 92127-3680

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740800325 Jacob New Student in an Organized Health Care Education/Training Program 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 2020-04-23
1376174946 Marjorie Francisco Noy Social Worker 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 2020-01-31
1295253839 Chelsea Saville Physical Therapist 16680 West Bernardo Drive, San Diego, CA 92127 2017-09-05
1558881862 Dianna Christine Goodwin Social Worker 11031 Via Frontera Suite C, San Diego, CA 92127 2017-06-27
1164966495 Kelsey Michaela Bright Specialist/Technologist 15778 Camino Crisalida, San Diego, CA 92127 2016-12-06
1588112924 Orenda Recovery Substance Abuse Rehabilitation Facility 8110 Twilight Point Way, San Diego, CA 92127 2016-09-14
1063868560 Jung Oh Pharmacist 18087 Valladares Drive, San Diego, CA 92127 2016-05-13
1225496524 Davey Dental Corp Dentist 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 2016-02-02
1942673496 Davey Dental Corporation Dentist 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 2015-11-05
1164800025 Maryam Derakhshani Dentist 10960 La Alberca Avenue, San Diego, CA 92127 2015-05-12
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Competitor

Search similar providers

City SAN DIEGO
Zip Code 92127

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.