Provider Demographics
NPI:1366497752
Name:NEMES, KRISTINE KELLY (DPM)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:KELLY
Last Name:NEMES
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:669 CRESPI DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3486
Mailing Address - Country:US
Mailing Address - Phone:650-359-7770
Mailing Address - Fax:650-359-3449
Practice Address - Street 1:669 CRESPI DR
Practice Address - Street 2:SUITE B
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3486
Practice Address - Country:US
Practice Address - Phone:650-359-7770
Practice Address - Fax:650-359-3449
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2015-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAE4584213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4828010001Medicare NSC