Provider Demographics
NPI:1750649471
Name:GUNNISON, KATHRYN MORRIS (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MORRIS
Last Name:GUNNISON
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:2570 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-3050
Mailing Address - Country:US
Mailing Address - Phone:914-374-2818
Mailing Address - Fax:
Practice Address - Street 1:1563 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2543
Practice Address - Country:US
Practice Address - Phone:914-374-2818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1243212083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine