Individual
DR. KWAIFA KARY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1801 WESTWIND DR, BAKERSFIELD, CA 93301-3028
(661) 632-1800
(661) 632-1886
Mailing address
1801 WESTWIND DR, BAKERSFIELD, CA 93301-3028
(661) 336-5300
(661) 336-5303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP16612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT11802F
—
CA
Enumeration date
12/15/2006
Last updated
09/24/2021
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