Individual
DR. THERESA L KAILIKOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3801 SACRAMENTO ST # 621, SAN FRANCISCO, CA 94118-1625
(415) 600-4080
(415) 600-4005
Mailing address
3801 SACRAMENTO ST # 621, SAN FRANCISCO, CA 94118-1625
(415) 600-4080
(415) 600-4005
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8191323
—
CA
Enumeration date
03/01/2007
Last updated
02/11/2022
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