Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Kathleen Judith Carroll-Hack, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1679660294

MS. Kathleen Judith Carroll-Hack, PNP is a Pediatric Nurse Practitioner in Sacramento, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

7275 E Southgate Dr Ste 306
Sacramento, CA 95823-2628
Phone: (916) 422-6635
Fax: (916) 422-2741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 13696 (CA)

Record details

NPI number1679660294
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESJuly 8, 2007

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