Kathleen Ellen Whisman M.D.

NPI 1124179353 - Family Medicine - 207Q00000X

NPI Details
NPI 1124179353
Gender Female
Enumeration Date 01/15/2007
Last Updated 08/26/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
678 PETALUMA AVE
SEBASTOPOL CA, 95472-4217, US
Phone (707) 823-6997
Fax (707) 829-3709
Business Location
678 PETALUMA AVE
SEBASTOPOL CA, 95472-4217, US
Phone (707) 823-6997
Fax (707) 829-3709
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G79463
Remove 1124179353 NPI Number
 

According to our database, Mrs. Kathleen Ellen Whisman M.D. NPI is 1124179353, taxonomy code is 207Q00000X and license number is G79463, license state is located at California. Kathleen Ellen Whisman M.D. physically located at 678 Petaluma Ave, Sebastopol CA, 95472-4217. NPI Number Kathleen Ellen Whisman M.D. has the Individual type.

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1124179353 NPI number is provided on an as is basis without warranty of any kind. 1124179353 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Ellen Whisman M.D. are for informational purposes only.