Individual
MRS. KAITLAN DENISE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4860 Y ST STE 3500, SACRAMENTO, CA 95817-2307
(916) 734-2893
(916) 734-8094
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101266823
VA
208800000X
Urology Physician
Primary
A154926
CA
Other
Enumeration date
04/08/2013
Last updated
12/13/2023
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