Most Relevant Information
Provider Data
| NPI Number: | 1003452285 |
| Provider Name: | JENNIFER N KUIKEN LPT |
| Entity Type: | Individual |
| Taxonomy Code: | 167G00000X |
| Specialty: | Licensed Psychiatric Technician |
| License Number: | PT38160 |
Most Important Dates
| Enumeration Date: | 11/21/2019 |
| Last Updated: | 06/29/2020 |
Provider Practice Location
2178 JOHNSON AVE
SAN LUIS OBISPO
CA
934014535
Practice Location Phone/Fax
| Phone: | 8057814712 |
| Fax: |
Provider Mailing Location
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO
CA
934016771
Provider Mailing Phone/Fax
| Phone: | 8054394890 |
| Fax: |