Individual
KATHLEEN COOKE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 LAUREL ST, REDWOOD CITY, CA 94063-2977
(650) 573-2222
Mailing address
1419 OAK GROVE AVE APT 304, BURLINGAME, CA 94010-3760
(650) 573-2222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN50442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN504420
—
CA
Enumeration date
01/17/2007
Last updated
07/08/2007
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