Mukendi, Kuditshini Kakese

Mukendi, Kuditshini Kakese is an sole proprietor health care provider with primary practice located at 8829 Spectrum Center Blvd Apt 3111, San Diego CA 92123-1457. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Mukendi, Kuditshini Kakese can be contacted via phone (843) 228-2111.

Contact Information

Primary practice address
8829 Spectrum Center Blvd Apt 3111 San Diego CA 92123-1457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1083059224
LBN Legal business name Mukendi, Kuditshini Kakese
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2013
Last updated May 1st, 2013 - about 11 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 1083059224 NPPES
Other 1710/1002X IDC

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