Individual
KENDALL EDWARD MOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
675 18TH ST, SAN FRANCISCO, CA 94143-4200
(415) 476-7000
Mailing address
675 18TH ST, SAN FRANCISCO, CA 94143-4200
(415) 476-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95127445
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025132
CA
Other
Enumeration date
07/11/2022
Last updated
06/18/2024
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