Kathleen Judith Carroll-Hack in Sacramento - Pediatrics
Kathleen Judith Carroll-Hack - NPI 1679660294
Kathleen Judith Carroll-Hack is a Pediatrics in Sacramento, California. Kathleen Judith Carroll-Hack practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathleen Judith Carroll-Hack is 1679660294. The last update date is 2007-07-08.
Kathleen Judith Carroll-Hack's current location address is 7275 E Southgate Dr, Sacramento, California. You can contact this provider via phone number 9164226635 and fax number 9164222741. The mailing address for Kathleen Judith Carroll-Hack is 7275 E Southgate Dr, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Judith Carroll-Hack |
|---|---|
| Address | 7275 E Southgate Dr, Sacramento, California |
| Phone Number | 9164226635 |
| Fax Number | 9164222741 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1679660294 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7275 E Southgate Dr |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958232628 |
| Phone Number | 9164226635 |
| Fax Number | 9164222741 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 13696 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique 10-digit identifier code assigned to Kathleen Judith Carroll-Hack by the Centers for Medicare & Medicaid Services?
The Kathleen Judith Carroll-Hack has been issued the NPI (National Provider Identifier) 1679660294 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kathleen Judith Carroll-Hack is located?
The Kathleen Judith Carroll-Hack is situated at the following address: 7275 E Southgate Dr, Sacramento, CA, 958232628.
What is Kathleen Judith Carroll-Hack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathleen Judith Carroll-Hack is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did Kathleen Judith Carroll-Hack receive its 1679660294 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Judith Carroll-Hack was assigned its 1679660294 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kathleen Judith Carroll-Hack's information last updated?
The Kathleen Judith Carroll-Hack's information was last updated on 2007-07-08.
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