William F Kivett MD INC
Dermatology in Santa Rosa, CA. Organization (NPI-2).
NPI number1164024394
StatusActive
Last updated in NPPESFeb 5, 2021
Details
- NPI
- 1164024394
- Entity type
- Organization (NPI-2)
- Legal business name
- William F Kivett MD INC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2020
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 2082S0105X | Plastic Surgery, Surgery of the Hand | – | – | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – |
Practice location
1140 Sonoma Ave Ste 1aSanta Rosa, CA 95405-4817
Phone 707-275-6410 · Fax 707-275-6075
Mailing address
Po Box 2196Windsor, CA 95492-2196
Phone 707-291-5096
Authorized official
William F Kivett
Owner
7072915096
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