KOURTNEY KATE VIDAL LVN
NPI 1184303356
Licensed Vocational Nurse in Playa Del Rey, CA

Q: What is Kourtney Vidal's NPI number?

The NPI number for Kourtney Vidal is 1184303356. It was assigned to this individual provider in the NPPES registry on July 14, 2023. The provider is also known as Jairus Vidal Kleefisch Lvn.

Q: What is Kourtney Vidal's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Kourtney Vidal was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2023

7742 PASEO DEL REY APT 6, PLAYA DEL REY, CA 90293(562) 552-7646 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kourtney Kate Vidal Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOURTNEY KATE VIDAL LVN (NPI 1184303356) is an individual licensed vocational nurse in Playa Del Rey, California, licensed in California (VN726574) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1184303356

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameKOURTNEY KATE VIDALCredential: LVN

Location Address7742 PASEO DEL REY APT 6Playa Del Rey, CA 90293-8343

Mailing Address1601 N Sepulveda Blvd # 605Manhattan Beach, CA 90266-5111 · (424) 542-1280

Phone(562) 552-7646

Sole ProprietorYes

Enumeration DateJuly 14, 2023

NPPES CertifiedJuly 14, 2023

✔ NPI 1184303356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · VN726574

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

7742 PASEO DEL REY APT 6, Playa Del Rey, CA 90293

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Other Names 1

Former Name (1)Jairus Vidal Kleefisch Lvn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kourtney Vidal's NPI number?

The NPI number for Kourtney Vidal is 1184303356. It was assigned to this individual provider in the NPPES registry on July 14, 2023. The provider is also known as Jairus Vidal Kleefisch Lvn.

Where is Kourtney Vidal located?

Kourtney Vidal practices at 7742 Paseo Del Rey Apt 6, Playa Del Rey, CA 90293. The listed phone number is (562) 552-7646.

What is Kourtney Vidal's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kourtney Vidal was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.