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General NPI Number Information
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NPI Number | 1467073502
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Entity Type | Organization
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Legal Business Name | KC WELLNESS CENTER A NURSE PRACTITIONER LED NURSING CORPORATION
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 331 S. H STREET
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City | BAKERSFIELD
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State | CA
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Zip | 93304-3403
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Country | US
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Telephone | 661-412-7788
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Fax | 661-412-7799
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Provider Business Mailing Address
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Address Line | 331 S. H STREET
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City | BAKERSFIELD
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State | CA
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Zip | 93304-3403
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Country | US
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Telephone | 661-412-7788
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Fax | 661-412-7799
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | NORMA MEJIA
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Credential | NP-C
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Telephone | 661-549-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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