Individual
DR. KATHERINE A KINGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 SOQUEL DRIVE, HOSPITAL BASED AT DOMINICAN HOSPITAL, SANTA CRUZ, CA 95065-1705
(831) 462-7630
Mailing address
1555 SOQUEL DRIVE, HOSPITAL BASED AT DOMINICAN HOSPITAL, SANTA CRUZ, CA 95065-1705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43978
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029906261O
HUMANA
—
05
—
34540900
—
WI
Enumeration date
05/15/2006
Last updated
04/20/2022
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