Provider Demographics
NPI:1174507701
Name:WELBORN, KATHARINA CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHARINA
Middle Name:CHRISTINE
Last Name:WELBORN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:8700 AURBURN FOLSOM RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-9501
Mailing Address - Country:US
Mailing Address - Phone:916-872-1120
Mailing Address - Fax:916-872-1125
Practice Address - Street 1:8605 AUBURN FOLSOM RD
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-6202
Practice Address - Country:US
Practice Address - Phone:916-872-1120
Practice Address - Fax:916-872-1125
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVB01061111N00000X, 111NI0013X
CADC-29303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner