Provider Demographics
NPI:1003946682
Name:CHESNUT, KARI LEANNE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:LEANNE
Last Name:CHESNUT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:KARI
Other - Middle Name:LEANNE
Other - Last Name:HOEFLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3822 POLARIS DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-8035
Mailing Address - Country:US
Mailing Address - Phone:619-398-2156
Mailing Address - Fax:619-398-2178
Practice Address - Street 1:446 26TH ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-3026
Practice Address - Country:US
Practice Address - Phone:619-398-2156
Practice Address - Fax:619-398-2156
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN211572164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse