Doctor Name: | KIMBERLY R FAUCHER |
NPI Number: | 1225147101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD00036004 |
Business Practice Address: | 1155 South Main Street Suite 101 Willits, CA - 95490 |
Business Phone Number: | 7074561100 |
Business Fax Number: | 7074561101 |
Mailing Address: | 1155 South Main Street, Suite 101 WILLITS |
State: | CA |
Postal Code: | 95490 |
Phone Number: | 7074561100 |
Fax Number: | 7074561101 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MD00036004 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |