Provider Demographics
NPI:1356538631
Name:KENIG, KATHRYN CHENIN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:CHENIN
Last Name:KENIG
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:STE 3A16
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-2557
Mailing Address - Fax:415-206-5153
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:STE 3A16
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-2557
Practice Address - Fax:415-206-5153
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2016-02-24
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Provider Licenses
StateLicense IDTaxonomies
CA17060363LF0000X
NYF3355121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily