Provider Demographics
NPI:1487604914
Name:DUNN, KATHLEEN LESLIE (MS, RN, CRRN-A, CNS)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:LESLIE
Last Name:DUNN
Suffix:
Gender:F
Credentials:MS, RN, CRRN-A, CNS
Other - Prefix:
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Mailing Address - Street 1:5907 CHARING ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4122
Mailing Address - Country:US
Mailing Address - Phone:858-292-1366
Mailing Address - Fax:858-552-4315
Practice Address - Street 1:VA SAN DIEGO HS (128)
Practice Address - Street 2:3350 LA JOLLA VILLAGE DR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0001
Practice Address - Country:US
Practice Address - Phone:858-642-3185
Practice Address - Fax:858-552-4315
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CARN246074163WM0705X, 163WR0400X, 364S00000X, 364SR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SR0400XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistRehabilitation
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist