1245482637 NPI number — MRS. KATHRYN ELIZABETH BERNARD R.N.

Table of content: MRS. KATHRYN ELIZABETH BERNARD R.N. (NPI 1245482637)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245482637 NPI number — MRS. KATHRYN ELIZABETH BERNARD R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BERNARD
Provider First Name:
KATHRYN
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BERNARD
Provider Other First Name:
KATHRYN
Provider Other Middle Name:
WESTON
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1245482637
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 HOWARD
Provider Second Line Business Mailing Address:
HOPE NETWORK BEHAVIORAL HEALTH SERVICES-HOWARD CRISIS
Provider Business Mailing Address City Name:
KALAMAZOO
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
269-383-9055
Provider Business Mailing Address Fax Number:
264-383-9108

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 HOWARD
Provider Second Line Business Practice Location Address:
HOPE NETWORK BEHAVIORAL HEALTH SERVICES-HOWARD CRISIS
Provider Business Practice Location Address City Name:
KALAMAZOO
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-383-9055
Provider Business Practice Location Address Fax Number:
264-383-9108
Provider Enumeration Date:
10/16/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  ID4704148685 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)