MEDICARE: MISS CAITLIN MARY KILPATRICK FNP

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
1	163W00000X	Registered Nurse	RN707957	CA
2	363LF0000X	Family Nurse Practitioner	22024	CA

General Provider Information

NPI Number	:	1316133994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CAITLIN MARY KILPATRICK FNP

Provider Business Mailing Address
First Line	:	1691 THE ALAMEDA
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2203
Country	:	US
Telephone Number	:	408-795-3619
Fax Number	:	408-287-0405

Provider Business Practice Location Address
First Line	:	678 N WILSON WAY
Second Line	:	STE G
City	:	STOCKTON
State	:	CA
Zip	:	95205-4272
Country	:	US
Telephone Number	:	209-466-2081
Fax Number	:	209-466-2083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	08/15/2012

Similar Medicare Providers

1174579957 — PLANNED PARENTHOOD MAR MONTE, INC
Practice Location Address:

678 N WILSON WAY , SUITE G
STOCKTON, CA
95205-4272

Practice Phone: 209-466-2081
Practice Fax: 209-466-2083

1780795021 — MRS. CLAUDIA BETH FAGILDE NP
Practice Location Address:

678 N WILSON WAY
STOCKTON, CA
95205-4272

Practice Phone: 209-446-2081
Practice Fax: 209-466-2083

1215098488 — HUGO RENE CABRAL
Practice Location Address:

678 N WILSON WAY , SUITE D
STOCKTON, CA
95205-4272

Practice Phone: 209-937-9000
Practice Fax:

1558559401 — DR. JOOYOUNG OH
Practice Location Address:

678 N WILSON WAY , #D
STOCKTON, CA
95205-4272

Practice Phone: 209-937-9000
Practice Fax: 209-939-1649

1588802334 — MRS. MARGARET ANN DRAKE RN
Practice Location Address:

678 N WILSON WAY , STE G
STOCKTON, CA
95205-4272

Practice Phone: 209-446-2081
Practice Fax:

1114200367 — MRS. DESIREE CHIPMAN PHARM.D
Practice Location Address:

678 N WILSON WAY
STOCKTON, CA
95205-4272

Practice Phone: 209-467-7861
Practice Fax: 209-467-0539

Directions to “ MISS CAITLIN MARY KILPATRICK FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.