KANDI CLARK LVN
NPI 1740170836
Licensed Vocational Nurse in Ceres, CA
- Individual
- Female
- Licensed Vocational Nurse
About KANDI CLARK
This page provides the complete NPI Profile along with additional information for Kandi Clark, a provider established in Ceres, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1740170836 assigned on July 2025. The practitioner's primary taxonomy code is 164X00000X with license number 741730 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1740170836 Verify this NPI
- Provider Name
- KANDI CLARK LVN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1904 RICHLAND AVE CERES, CA 95307
- Location Phone
- (209) 605-1451
- Mailing Address
- 550 CURRY AVE MODESTO, CA 95354
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-08-2025
- Last Update Date
- 07-08-2025
- 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.
- 741730
- 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CERES, CA 95307
CERES, CA 95307
CERES, CA 95307
CERES, CA 95307
CERES, CA 95307
CERES, CA 95307
CERES, CA 95307
CERES, CA 95307
CERES, CA 95307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740170836, enumerated as an "individual" on July 08, 2025.
The provider is located at 1904 RICHLAND AVE CERES, CA 95307 and the phone number is (209) 605-1451.
Licensed Vocational Nurse with taxonomy code 164X00000X.
