Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | B01061 | NV |
Y | 111N00000X | Chiropractor | DC-29303 | CA |
N | 111NI0013X | Independent Medical Examiner | B01061 | NV |
NPI | 1174507701 |
---|---|
Provider Name | Dr. Katharina Christine Welborn |
First Address | Granite Bay, CA 95746-9501 |
Second Address | Granite Bay, CA 95746-6202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2005 |
Last Update Date | 30/12/2019 |