Healthcare Provider Details

I. General information

NPI: 1124983283
Provider Name (Legal Business Name): KERRY LEHMAN RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 GLACIER CT N
PLEASANTON CA
94588-4909
US

IV. Provider business mailing address

3605 GLACIER CT N
PLEASANTON CA
94588-4909
US

V. Phone/Fax

Practice location:
  • Phone: 415-637-1832
  • Fax:
Mailing address:
  • Phone: 415-637-1832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number95368329
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: