Individual
DR. CHRISTINE W KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 566-5452
Mailing address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 566-5452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C51152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C511520
—
CA
Enumeration date
09/20/2006
Last updated
12/09/2021
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