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Individual

MR. KEVIN V. SPERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHCNS, BC

Contact information

Practice address
2300 CALIFORNIA ST STE 202, SAN FRANCISCO, CA 94115
(415) 600-3503
(415) 369-1383
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
(415) 600-3503
(415) 369-1383

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95044800
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
PMH586
CA
364S00000X
Clinical Nurse Specialist
CNS4252
CA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0240982
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CNS4252
STATE MEDICAL LICENSE
CA
01
PMH586
STATE MEDICAL LICENSE
CA
01
RN95044800
STATE MEDICAL LICENSE
CA
Enumeration date
08/28/2006
Last updated
06/12/2019
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