Kimberly Katherine Lanford PA-C

NPI 1790097046 - Physician Assistant - 363A00000X

NPI Details
NPI 1790097046
Gender Female
Enumeration Date 07/01/2010
Last Updated 07/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
751 S BASCOM AVE
SAN JOSE CA, 95128-2604, US
Phone (408) 885-5000
Fax
Business Location
2100 POWELL ST
SUITE 900
EMERYVILLE CA, 94608-1826, US
Phone (510) 350-2600
Fax (510) 879-9100
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA20914
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According to our database, Kimberly Katherine Lanford PA-C NPI is 1790097046, taxonomy code is 363A00000X and license number is PA20914, license state is located at California. Kimberly Katherine Lanford PA-C physically located at 751 S Bascom Ave, San Jose CA, 95128-2604. NPI Number Kimberly Katherine Lanford PA-C has the Individual type.

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1790097046 NPI number is provided on an as is basis without warranty of any kind. 1790097046 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Katherine Lanford PA-C are for informational purposes only.