1346442092 NPI number — MRS. KATHLENE LEMAY BARTKO LCSW

Table of content: MRS. KATHLENE LEMAY BARTKO LCSW (NPI 1346442092)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346442092 NPI number — MRS. KATHLENE LEMAY BARTKO LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARTKO
Provider First Name:
KATHLENE
Provider Middle Name:
LEMAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARRACO
Provider Other First Name:
KATHLENE
Provider Other Middle Name:
LEMAY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1346442092
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1101 MARSHALL CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JUNCTION CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66441-4500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-717-8641
Provider Business Mailing Address Fax Number:
270-964-5084

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1101 MARSHALL CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JUNCTION CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66441-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-717-8641
Provider Business Practice Location Address Fax Number:
270-964-5084
Provider Enumeration Date:
06/04/2007

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: 1041C0700X , with the licence number:  6801076621 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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





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