Individual
DR. KATHRYN CAROLIN AMIRIKIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FACS
Contact information
Practice address
1737 CREEKSIDE DR, FOLSOM, CA 95630
(916) 932-0315
(916) 932-0312
Mailing address
1737 CREEKSIDE DR, FOLSOM, CA 95630
(916) 932-0315
(916) 932-0003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301061506
MI
208600000X
Surgery Physician
Primary
G86919
CA
2086X0206X
Surgical Oncology Physician
G86919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2612952
—
MI
01
—
383064919
UNIV SURGEONS TAX ID
MI
01
—
943235612
PEN MILLS SURG SPEC GRP
CA
Enumeration date
08/25/2006
Last updated
04/08/2021
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