Individual
KATHERINE KENTFIELD-KESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 FRIENDLY LN, 00, NOVATO, CA 94945-2151
(415) 312-6201
Mailing address
15 FRIENDLY LN, NOVATO, CA 94945-2151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
540135
CA
163WP0200X
Pediatric Registered Nurse
Primary
540135
CA
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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