Individual
KSENIYA KHESIN-SHPOLYANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
14777 LOS GATOS BLVD STE 105, LOS GATOS, CA 95032-2059
(408) 340-5120
(650) 421-7494
Mailing address
14777 LOS GATOS BLVD STE 105, LOS GATOS, CA 95032-2059
(408) 340-5120
(650) 421-7494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000936
CA
363LF0000X
Family Nurse Practitioner
95000936
CA
Other
Enumeration date
10/22/2014
Last updated
02/11/2022
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