Individual
KATHLEEN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 S MAIN ST, MOB 2 THIRD FLOOR, WALNUT CREEK, CA 94596-5318
(925) 295-4110
(925) 295-7234
Mailing address
1425 S MAIN ST, MOB 2 THIRD FLOOR, WALNUT CREEK, CA 94596-5318
(925) 295-4110
(925) 295-7234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A63112
CA
208600000X
Surgery Physician
MD00044301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8412041
—
WA
Enumeration date
02/08/2007
Last updated
05/13/2024
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