# KEPHA HEALTH CARE A NURSE PRACTITIONER LED NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** n/a
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558122028
- **Authorized official:** MS. RUTH A OGOT NURSE PRACTITIONER (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (661) 472-1192

## Contact information

- **Practice address:** 1401 21ST ST \# 10142, SACRAMENTO, CA 95811-5226
- **Practice address phone:** (661) 472-1192
- **Mailing address:** 1401 21ST ST \# 10142, SACRAMENTO, CA 95811-5226
- **Mailing address phone:** (661) 472-1192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 08/15/2024