Provider Demographics
NPI:1316366891
Name:HART, KATHARYN (DVM)
Entity Type:Individual
Prefix:DR
First Name:KATHARYN
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 E COVELL BLVD
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-1564
Mailing Address - Country:US
Mailing Address - Phone:530-400-8618
Mailing Address - Fax:
Practice Address - Street 1:1388 S CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5125
Practice Address - Country:US
Practice Address - Phone:800-427-7973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17393174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian