Individual
MS. KATHLEEN M DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6800
Mailing address
7015 GLORIA DR, SACRAMENTO, CA 95831-2451
(916) 392-6617
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
169638
CA
Other
Enumeration date
01/30/2007
Last updated
07/13/2007
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