Provider Demographics
NPI:1386855567
Name:CHICK, KATHERINE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LOUISE
Last Name:CHICK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:980 MAGNOLIA AVENUE
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939
Mailing Address - Country:US
Mailing Address - Phone:415-925-0884
Mailing Address - Fax:415-925-2888
Practice Address - Street 1:980 MAGNOLIA AVENUE
Practice Address - Street 2:SUITE 6A
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939
Practice Address - Country:US
Practice Address - Phone:415-925-0884
Practice Address - Fax:415-925-2888
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-27
Last Update Date:2015-12-01
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Provider Licenses
StateLicense IDTaxonomies
CAG48332207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine