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Individual

MR. AHAD KEBEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP, FNP

Contact information

Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201607848NP-PP
OR
363L00000X
Nurse Practitioner
Primary
95006321
CA
363LF0000X
Family Nurse Practitioner
AP60720358
WA
363LF0000X
Family Nurse Practitioner
APN0000021215
TN

Other

Enumeration date
06/03/2016
Last updated
03/07/2023
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