Individual
KATHLEEN RAE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 N VILLA AVE, WILLOWS, CA 95988-2607
(530) 934-8700
Mailing address
2710 GATEWAY OAKS DR, SACRAMENTO, CA 95833-3505
(916) 646-2770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95229496
CA
363L00000X
Nurse Practitioner
Primary
95039019
CA
Other
Enumeration date
11/21/2025
Last updated
03/16/2026
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