Organization
KSK NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADEER KHAN DNP, MSN, FNP, PMHNP (DIRECTOR)
(310) 387-2054
Entity
Organization
Contact information
Practice address
1875 W REDONDO BEACH BLVD STE 308, GARDENA, CA 90247-3644
(310) 387-2054
Mailing address
506 PHELAN LN, REDONDO BEACH, CA 90278-5309
(310) 387-2054
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
11/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us