Provider Demographics
NPI:1073834644
Name:SEATON-SMITH, KIMBERLY LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:LYNN
Last Name:SEATON-SMITH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2582
Practice Address - Country:US
Practice Address - Phone:707-551-4900
Practice Address - Fax:707-551-3617
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11242208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics