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
Phone: (661) 632-1800
Fax: (661) 632-1886
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447312202 | NPPES |
California | MEDICAID | ZZT11802F |
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