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

Kingsley U Johnetebom, RN

Individual provider Registered Nurse · NPI 1346137866

Kingsley U Johnetebom, RN is a Registered Nurse in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

545 Estudillo Ave
San Leandro, CA 94577-4611
Phone: (510) 309-0003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95413311 (CA)

Record details

NPI number1346137866
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address545 Estudillo Ave, San Leandro, CA 94577-4611

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