Provider Demographics
NPI:1790119683
Name:MILLS, KATHERINE A (DVM)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:A
Last Name:MILLS
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 1:909 MARINA VILLAGE PKWY
Mailing Address - Street 2:204
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1048
Mailing Address - Country:US
Mailing Address - Phone:415-347-8055
Mailing Address - Fax:
Practice Address - Street 1:909 MARINA VILLAGE PKWY
Practice Address - Street 2:204
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1048
Practice Address - Country:US
Practice Address - Phone:415-347-8055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16845174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian