Provider Demographics
NPI:1023443769
Name:KATHERINE KALTHOFF DPM
Entity type:Organization
Organization Name:KATHERINE KALTHOFF DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KALTHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:916-423-4020
Mailing Address - Street 1:7601 HOSPITAL DR
Mailing Address - Street 2:# 104A
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5408
Mailing Address - Country:US
Mailing Address - Phone:916-423-4020
Mailing Address - Fax:916-681-3533
Practice Address - Street 1:7601 HOSPITAL DR
Practice Address - Street 2:# 104A
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5408
Practice Address - Country:US
Practice Address - Phone:916-423-4020
Practice Address - Fax:916-681-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4164213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty