Healthcare Provider Details

I. General information

NPI: 1205963311
Provider Name (Legal Business Name): KATHERINE MCKETCHNIE SCHEMPP R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 MEDICAL CENTER CT
CHULA VISTA CA
91911-6618
US

IV. Provider business mailing address

730 MEDICAL CENTER CT EMERGENCY SCREENING UNIT
CHULA VISTA CA
91911-3980
US

V. Phone/Fax

Practice location:
  • Phone: 619-397-6912
  • Fax: 619-421-7186
Mailing address:
  • Phone: 619-397-6912
  • Fax: 619-421-7186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number509315
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: