Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G62575 | CA |
N | 111NI0900X | Internist | G62575 | CA |
Y | 207RG0300X | Geriatric Medicine | G62575 | CA |
NPI | 1154388775 |
---|---|
Provider Name | Dr. Kate Skinner |
First Address | San Francisco, CA 94112-1510 |
Second Address | San Francisco, CA 94112-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 25/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0G6257500 | (05) | CA |
F19878 | (02) | CA |