Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 95003725 | CA |
NPI | 1003364084 |
---|---|
Provider Name | Kathleen C Hilton |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Boulder Creek, CA 95006-9237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2016 |
Last Update Date | 07/12/2018 |