Bakke, Kathleen
Bakke, Kathleen is an individual health care provider with primary practice located at 1905 Main St , Klamath Falls OR 97601-2638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bakke, Kathleen can be contacted via phone (541) 882-4691.Contact Information
Primary practice address
1905 Main St
Klamath Falls OR 97601-2638
Phone: (541) 882-4691
Fax: (541) 883-5211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD20966 | Oregon |
Profile Details
| NPI number | 1306891189 |
|---|---|
| LBN Legal business name | Bakke, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306891189 | NPPES |
| Oregon | MEDICAID | 151208 |
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