Individual
NICOLE MARIE KAIPUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 30TH ST, SUITE 320, OAKLAND, CA 94609
(510) 465-6700
Mailing address
350 30TH ST, SUITE 320, OAKLAND, CA 94609-3424
(510) 465-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116543
CA
208M00000X
Hospitalist Physician
Primary
A116543
CA
Other
Enumeration date
05/27/2008
Last updated
08/27/2018
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