Individual
KATHLEEN ANNE CLANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1411 E 31ST STREET, OAKLAND, CA 94602-1080
(510) 437-4323
(510) 437-5042
Mailing address
1411 E 31ST STREET, OAKCARE MEDICAL GROUP, OAKLAND, CA 94602-1080
(510) 437-4323
(510) 437-5042
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G56122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G56122
—
CA
Enumeration date
08/08/2006
Last updated
02/21/2012
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