NPI 1902164700

Kenneth Eugene Harbison-Bleker, LVN

Practitioner Licensed Practical Nurse Chula Vista, CA

Practice location

Address: 432 Windrose Way, Chula Vista, CA 91910-7442
Phone: (415) 702-5199

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 151669 (CA)

Other Licensed Practical Nurse providers in California →

Registry record

NPI: 1902164700
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2012
Record last updated: 30 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.