Healthcare Provider Details

I. General information

NPI: 1598691479
Provider Name (Legal Business Name): JULIE KESTERSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

5970 RACINE ST
OAKLAND CA
94609-1520
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-9888
  • Fax: 415-353-9931
Mailing address:
  • Phone: 619-207-9803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number95115279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: