Individual
KATHRYN RACHEL BUCKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1825 4TH ST, SAN FRANCISCO, CA 94143-2350
(415) 353-3000
Mailing address
20800 HOMESTEAD RD APT 63A, CUPERTINO, CA 95014-7018
(209) 985-4717
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030846
CA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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