Individual
KATHRYN WILSON CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2100
Mailing address
4365 WHISPERING OAK CIR, GRANITE BAY, CA 95746-9404
(916) 797-0226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G074736
CA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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