KACEE G CROSS LVN
NPI 1609762392
Licensed Vocational Nurse in Highland, CA
- Individual
- Male
- Licensed Vocational Nurse
About KACEE CROSS
This page provides the complete NPI Profile along with additional information for Kacee Cross, a provider established in Highland, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1609762392 assigned on June 2025. The practitioner's primary taxonomy code is 164X00000X with license number 695165 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1609762392 Verify this NPI
- Provider Name
- KACEE G CROSS LVN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2727 PACIFIC ST SPC 140 HIGHLAND, CA 92346
- Location Phone
- (909) 503-3015
- Mailing Address
- 2727 PACIFIC ST SPC 140 HIGHLAND, CA 92346
- Mailing Phone
- (909) 503-3015
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-17-2025
- Last Update Date
- 06-17-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Vocational Nurse
- Taxonomy Code
- 164X00000X
- Type
- Nursing Service Providers
- License No.
- 695165
- License State
- CA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609762392, enumerated as an "individual" on June 17, 2025.
The provider is located at 2727 PACIFIC ST SPC 140 HIGHLAND, CA 92346 and the phone number is (909) 503-3015.
Licensed Vocational Nurse with taxonomy code 164X00000X.
