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Contact Information

KIMBERLY R FAUCHER, MD
1155 SOUTH MAIN STREET
SUITE 101
WILLITS, CA95490
 Phone: 707-456-1100
 Fax: 707-456-1101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KIMBERLY R FAUCHER · (Female)

NPI Number 1225147101
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 04/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G74987
  • WA License # MD00036004
  • WA Medicaid 8232035
  • Other P00239584 RAILROAD MEDICARE
  • WA Other US5553733 AETNA/USHC SPECIALIST
  • WA Other 4821FA BLUE SHIELD
  • WA Other 0039592 LABOR & INDUSTRY
Hospital affiliation(s)
  • FRANK R HOWARD MEMORIAL HOSPITAL - (Critical Access)
    1 MADRONE STREET
    WILLITS, CA 95490
  • UKIAH VALLEY MEDICAL CENTER/HOSPITAL D - (Acute Care)
    275 HOSPITAL DRIVE
    UKIAH, CA 95482
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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