Kenadee Isabella Valencia, is a
Student In An Organized Health Care Education/training Program based in Oakland, California. Kenadee Isabella Valencia is licensed to practice in California (license number ) and her current practice location is
3301 E 12th St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 269-9030.
NPI number for Kenadee Isabella Valencia is 1912737305 and her current mailing address is 3301 E 12th St, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912737305.
Healthcare Provider's Profile
| Full Name | Kenadee Isabella Valencia |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3301 E 12th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912737305
- Provider Enumeration Date: 08/01/2024
- Last Update Date: 08/12/2024
Medical Identifiers
Medical identifiers for Kenadee Isabella Valencia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912737305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenadee Isabella Valencia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenadee Isabella Valencia,
3301 E 12th St,
Oakland, CA 94601-3424
Ph: () - | Kenadee Isabella Valencia,
3301 E 12th St,
Oakland, CA 94601-3424
Ph: (510) 269-9030 |
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