Individual
KELVIN KING KIBUNJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
890 SE 25TH CT, HILLSBORO, OR 97123-7216
(508) 579-1025
Mailing address
890 SE 25TH CT, HILLSBORO, OR 97123-7216
(508) 579-1025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10007540
OR
163WC1500X
Community Health Registered Nurse
10007540
OR
163WH0200X
Home Health Registered Nurse
10007540
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
10007540
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
10007540
OR
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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