Individual
KIMBERLY LYNN HAUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN488842
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
NP11149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN88842
—
CA
Enumeration date
04/25/2006
Last updated
05/11/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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