Doctor Name: | KATIE KERN |
NPI Number: | 1023269768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | 200850132NP |
Business Practice Address: | 616 6th St Bremerton, WA - 98337 |
Business Phone Number: | 3603773776 |
Business Fax Number: | 3603732096 |
Mailing Address: | Po Box 960, BREMERTON |
State: | WA |
Postal Code: | 98337 |
Phone Number: | 3603773776 |
Fax Number: | 3603732096 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 200850132NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |