Provider Demographics
NPI:1982754842
Name:RENSCHLER, KATHRYN K (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:K
Last Name:RENSCHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:805 EL CAMINO REAL
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2315
Mailing Address - Country:US
Mailing Address - Phone:650-329-0440
Mailing Address - Fax:650-321-3589
Practice Address - Street 1:805 EL CAMINO REAL
Practice Address - Street 2:SUITE B
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2315
Practice Address - Country:US
Practice Address - Phone:650-329-0440
Practice Address - Fax:650-321-3589
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE60039Medicare UPIN
CA00G619150Medicare ID - Type UnspecifiedINDIVIDUAL MC PROVIDER #