Mack, Kwaifa Kary

Mack, Kwaifa Kary is an individual health care provider with primary practice located at 1801 Westwind Dr , Bakersfield CA 93301-3028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mack, Kwaifa Kary can be contacted via phone (661) 632-1800.

Contact Information

Primary practice address
1801 Westwind Dr Bakersfield CA 93301-3028
Fax: (661) 632-1886
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP16612 California

Profile Details

NPI number 1447312202
LBN Legal business name Mack, Kwaifa Kary
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Sep 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447312202 NPPES
California MEDICAID ZZT11802F

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