Individual
JAMES KELSO GUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 PALM AVE, SUITE K, SEBASTOPOL, CA 95472-4269
(707) 824-0882
Mailing address
6800 PALM AVE, SUITE K, SEBASTOPOL, CA 95472-4269
(707) 824-0882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00G126270
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
00G126260
CA
207RP1001X
Pulmonary Disease Physician
00G126260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G127260
—
CA
Enumeration date
04/19/2006
Last updated
03/08/2013
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