Individual
DR. KATHERINE R CLYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7862 EL CAJON BLVD, LA MESA, CA 91942-6712
(801) 953-5957
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
54014671205
UT
207N00000X
Dermatology Physician
Primary
A98484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509884
—
NV
05
—
807481200
—
ID
05
—
8704683770001
—
UT
Enumeration date
07/11/2006
Last updated
07/07/2022
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