Individual
KATE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
521 PARNASSUS AVE, 4TH FLOOR, ROOM 4615, SAN FRANCISCO, CA 94143
(415) 476-9035
(415) 353-9613
Mailing address
521 PARNASSUS AVE, 4TH FLOOR, ROOM 4615, SAN FRANCISCO, CA 94143
(415) 476-9035
(415) 353-9613
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
65254
AZ
207L00000X
Anesthesiology Physician
65254
AZ
207L00000X
Anesthesiology Physician
Primary
A185984
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
65254
AZ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD472549
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P300461549404
DRIVER LICENSE
MI
Enumeration date
03/23/2016
Last updated
09/29/2023
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