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NPI Code Detail

MEDICARE: NEFERKARE STEWART KHEMRE PHD

MEDICARE: NEFERKARE STEWART KHEMRE PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorCA
2103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699821348
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEFERKARE STEWART KHEMRE PHD
Provider Business Mailing Address
First Line : 3301 E 12TH ST STE 259
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2940
Country : US
Telephone Number : 510-269-9157
Fax Number :
Provider Business Practice Location Address
First Line : 3301 E 12TH ST STE 259
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2940
Country : US
Telephone Number : 510-269-9030
Fax Number : 510-269-9031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 04/27/2018

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Directions to “ NEFERKARE STEWART KHEMRE PHD” Practice Location

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