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NPI Code Detail

MEDICARE: KAISER FOUNDATION HEALTH PLAN INC

MEDICARE: KAISER FOUNDATION HEALTH PLAN INC
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
13336C0003XCommunity/Retail PharmacyPHY48291CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10566464OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912054248
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER FOUNDATION HEALTH PLAN INC
Provider Business Mailing Address
First Line : 1800 HARRISON ST FL 13
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3466
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 250 HOSPITAL PKWY
Second Line : LOBBY ROOM 2015
City : SAN JOSE
State : CA
Zip : 95119-1103
Country : US
Telephone Number : 408-972-7245
Fax Number : 408-972-7247
Authorized Official
Title or Position : VP PHARMACY OPERATIONS AND SERVICES
Name : KATHRYN RENOUARD BROWN
Credential :
Telephone Number : 510-625-2363
Provider Enumeration Date : 01/05/2007
Last Update Date : 11/27/2020

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Directions to “KAISER FOUNDATION HEALTH PLAN INC ” Practice Location

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