Provider Demographics
NPI:1649538240
Name:REDDING, KATHERINE SUZANNE (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:SUZANNE
Last Name:REDDING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 OWENS ST FL 9
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2261
Mailing Address - Country:US
Mailing Address - Phone:628-242-6900
Mailing Address - Fax:628-242-6922
Practice Address - Street 1:1600 OWENS ST FL 9
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2261
Practice Address - Country:US
Practice Address - Phone:628-242-6900
Practice Address - Fax:628-242-6922
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC174628207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology