Individual
KATHLEEN AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2623 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2926
(323) 583-1931
Mailing address
2623 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2926
(323) 583-1931
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18383
CA
363LF0000X
Family Nurse Practitioner
18383
CA
363LF0000X
Family Nurse Practitioner
536623
CA
Other
Enumeration date
07/12/2011
Last updated
01/26/2024
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