MEDICARE: DR. KATHRYN LEA SEWELL M.D.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	G85724	CA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	60367	MA
3	207RR0500X	Rheumatology Physician	60367	MA
4	207RR0500X	Rheumatology Physician	G85724	CA

General Provider Information

NPI Number	:	1689652612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN LEA SEWELL M.D.

Provider Business Mailing Address
First Line	:	1515 BAKER ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2908
Country	:	US
Telephone Number	:	415-345-1973
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 BAKER ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2908
Country	:	US
Telephone Number	:	415-345-1973
Fax Number	:

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	09/11/2025

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