COURTNEY B KERCKHOFF FNP-BC NPI 1912344359

NPI Information

NPI: 1912344359
Provider Name: COURTNEY B KERCKHOFF, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ONE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
840 IRVING ST
SAN FRANCISCO, CA
ZIP 94122
Phone: (415) 590-6140
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Courtney B Kerckhoff, FNP-BC is a family nurse practitioner in San Francisco, CA with 12 years of experience. Courtney B Kerckhoff, FNP-BC NPI is 1912344359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

840 IRVING ST
SAN FRANCISCO, CA
ZIP 94122-311
Phone: (415) 590-6140
Fax: (415) 291-0489

The NPI 1912344359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 11/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN1019839	DISTRICT OF COLUMBIA	No
2	363LF0000X	Nurse Practitioner	Family	95001114	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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