Individual
KIM BELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3434 VILLA LN, SUITE 150, NAPA, CA 94558-6405
(707) 252-9660
(707) 252-9610
Mailing address
18 PENINSULA CT, NAPA, CA 94559-4811
(310) 704-8322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15150
CA
Other
Enumeration date
12/11/2006
Last updated
08/10/2009
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