MRS. KELLY CHUKUNTAROD RN PHN NPI 1669653432

NPI Information

NPI: 1669653432
Provider Name: MRS. KELLY CHUKUNTAROD, RN, PHN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
1301 PIERCE ST
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 292-1304
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MRS. Kelly Chukuntarod, RN, PHN is a case management registered nurse in San Francisco, CA. MRS. Kelly Chukuntarod, RN, PHN NPI is 1669653432. 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:

1301 PIERCE ST
SAN FRANCISCO, CA
ZIP 94115-005
Phone: (415) 292-1304
Fax: (415) 440-2364

The enumeration date for this NPI number is 11/20/2007 and was last updated on 2/25/2010.

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	163WC0400X	Registered Nurse	Case Management	630841	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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