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Individual

KATHY D RESCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2509
(530) 225-6000
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 587-2493

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A64398
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A643980
BLUE SHIELD
CA
05
00A643980
CA
01
P00115010
RAILROAD MEDICARE
CO
Enumeration date
07/14/2006
Last updated
07/08/2007
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