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Individual

HELENA INTAN KURNIAWAN

Active
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Individual

HELENA INTAN KURNIAWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS024938
PA
207RN0300X
Nephrology Physician
25MB11944400
NJ
207RN0300X
Nephrology Physician
285135
MA
207RN0300X
Nephrology Physician
ETLL-502
MA
207RN0300X
Nephrology Physician
OS024938
PA
390200000X
Student in an Organized Health Care Education/Training Program
ETLL-502
MA
390200000X
Student in an Organized Health Care Education/Training Program
OT017922
PA

Other

Enumeration date
05/16/2017
Last updated
07/29/2025
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