Shoemaker, Kathy

Shoemaker, Kathy is an individual health care provider with primary practice located at 9808 Venice Blvd Ste 700, Culver City CA 90232-2732. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shoemaker, Kathy can be contacted via phone (310) 945-3350.

Contact Information

Primary practice address
9808 Venice Blvd Ste 700 Culver City CA 90232-2732
Phone: (310) 945-3350
Fax: (310) 840-7023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 386784 California

Profile Details

NPI number 1336346220
LBN Legal business name Shoemaker, Kathy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336346220 NPPES
California Other 386784 REG NURSING LICENSE

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