Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A150382 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | A150382 | CA |
NPI | 1609191972 |
---|---|
Provider Name | Katherine Ann Connolly |
First Address | New York, NY 10014-6329 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 17/03/2018 |