Healthcare Provider Details

I. General information

NPI: 1306759568
Provider Name (Legal Business Name): KLP NURSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2241 CURLEW ST
SAN DIEGO CA
92101-1847
US

IV. Provider business mailing address

2241 CURLEW ST
SAN DIEGO CA
92101-1847
US

V. Phone/Fax

Practice location:
  • Phone: 619-550-7932
  • Fax:
Mailing address:
  • Phone: 619-550-7932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTINA LEBEDEVA
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 619-550-7932