Individual provider · Type 1 NPI

Kathleen M. Herzog

Student in an Organized Health Care Education/Training Program · San Rafael, CA

NPI number 1487381422 Active

Practice location

3270 Kerner Blvd
San Rafael, CA 94901-4840

Call (415) 473-4059 Map

Mailing address

145 Corte Madera Town Ctr # 210
Corte Madera, CA 94925-1209

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487381422

Kathleen M. Herzog's National Provider Identifier is 1487381422, issued on Aug 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Aug 1, 2022.