Provider Demographics
NPI:1316133994
Name:KILPATRICK, CAITLIN MARY (FNP)
Entity type:Individual
Prefix:MISS
First Name:CAITLIN
Middle Name:MARY
Last Name:KILPATRICK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-795-3619
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:678 N WILSON WAY
Practice Address - Street 2:STE G
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95205-4272
Practice Address - Country:US
Practice Address - Phone:209-466-2081
Practice Address - Fax:209-466-2083
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN707957163W00000X
CA22024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse