Harris, Kathleen Cooke

Harris, Kathleen Cooke is an individual health care provider with primary practice located at 630 Laurel St , Redwood City CA 94063-2977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Harris, Kathleen Cooke can be contacted via phone (650) 573-2222.

Contact Information

Primary practice address
630 Laurel St Redwood City CA 94063-2977
Phone: (650) 573-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN50442 California

Profile Details

NPI number 1437201670
LBN Legal business name Harris, Kathleen Cooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437201670 NPPES
California MEDICAID RN504420

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