Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christian Kenshin Job

Individual provider Ambulatory Care Registered Nurse · NPI 1083413058

Christian Kenshin Job is an Ambulatory Care Registered Nurse in Lakeport, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

925 Bevins Ct
Lakeport, CA 95453-9754
Phone: (707) 263-8382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14440 Olympic Dr, Clearlake, CA 95422-8809 — (707) 263-8382

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 701025 (CA)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 701025 (CA)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 701025 (CA)

Record details

NPI number1083413058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025