Healthcare Provider Details

I. General information

NPI: 1164788782
Provider Name (Legal Business Name): KATHERINE RUTH NOEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SAN JOSE ST
SALINAS CA
93901-3901
US

IV. Provider business mailing address

100 WILSON RD STE 100
MONTEREY CA
93940-7885
US

V. Phone/Fax

Practice location:
  • Phone: 831-758-8223
  • Fax: 831-758-0547
Mailing address:
  • Phone: 831-242-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA138894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: