MEDICARE: MS. KAREN C KWOK NP MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	PHN64379	CA
2	163WP2201X	Ambulatory Care Registered Nurse	RN584726	CA
3	363LF0000X	Family Nurse Practitioner	NPF15031	CA
4	363LF0000X	Family Nurse Practitioner	RN1046932	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	088955	OTHER		SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1336276328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN C KWOK NP MSN

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR STE 1900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3723
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 CONNECTICUT AVE NW # 1001G
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-1722
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	202-806-7416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	12/06/2021

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