Provider Demographics
NPI:1003014903
Name:DAVIS, KATHRYN RACHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:RACHEL
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:505 PARNASSUS AVE # 0110
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA SAN FRANCISCO, M691
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2204
Mailing Address - Country:US
Mailing Address - Phone:415-476-6245
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVE # 0110
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA SAN FRANCISCO, M691
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-476-6245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics