Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | PA15500 | CA |
NPI | 1144324336 |
---|---|
Provider Name | Kimberly Rae Duran |
First Address | Sacramento, CA 95825-6372 |
Second Address | Sacramento, CA 95825-6372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 03/01/2022 |