| Doctor Name: | MRS. KATHLEEN M. BERNDSEN |
| NPI Number: | 1932478500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 100174-30 |
| Business Practice Address: | W6800 37th St New Lisbon, WI - 539509149 |
| Business Phone Number: | 6085625685 |
| Business Fax Number: | |
| Mailing Address: | W6800 37th St, NEW LISBON |
| State: | WI |
| Postal Code: | 539509149 |
| Phone Number: | 6085625685 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2011 |
| NPI Last Update Date: | 02/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 100174-30 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |