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NPI Code Detail

MEDICARE: KATHLEEN DEMPSEY

MEDICARE:   KATHLEEN  DEMPSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP5678CA

General Provider Information

NPI Number : 1073583811
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN DEMPSEY
Provider Business Mailing Address
First Line : 2785 DAUBENBISS AVE
Second Line :
City : SOQUEL
State : CA
Zip : 95073-2176
Country : US
Telephone Number : 831-462-6850
Fax Number :
Provider Business Practice Location Address
First Line : 1555 SOQUEL DR
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95065-1705
Country : US
Telephone Number : 831-462-7730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 11/17/2011

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Directions to “ KATHLEEN DEMPSEY ” Practice Location

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