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Individual
KRISTA A MCKIM
Active
Individual
KRISTA A MCKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95445403
CA
164X00000X
Licensed Vocational Nurse
Primary
261924
CA
Other
Enumeration date
03/19/2024
Last updated
03/17/2026
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