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NPI Code Detail

MEDICARE: KATHLEEN ANN PARRISH MD

MEDICARE: KATHLEEN ANN PARRISH MD
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
1207Q00000XFamily Medicine PhysicianG83408CA

General Provider Information

NPI Number : 1528078532
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ANN PARRISH MD
Provider Business Mailing Address
First Line : 1207 VILLAGE VIEW RD
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-5663
Country : US
Telephone Number : 760-815-9224
Fax Number :
Provider Business Practice Location Address
First Line : 287 LORTON AVE
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-4203
Country : US
Telephone Number : 877-505-7147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 01/13/2023

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