Individual
LAURA ELIZABETH KINGKADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
781 VADA ST UNIT 3, CHULA VISTA, CA 91911-6454
(619) 869-9913
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101286854
VA
Other
Enumeration date
04/06/2023
Last updated
11/20/2025
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