Individual
DR. KIM SUZANNE ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3798 JANES RD STE 5, ARCATA, CA 95521-4745
(707) 825-7588
(707) 825-8203
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G65433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G654330
—
CA
Enumeration date
06/07/2006
Last updated
03/06/2020
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