Berghausen, Kathleen B

Berghausen, Kathleen B is an individual health care provider with primary practice located at 417 Benjamin Ln Ste 101 , Louisville KY 40222-4939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Berghausen, Kathleen B can be contacted via phone (502) 289-9306.

Contact Information

Primary practice address
417 Benjamin Ln Ste 101 Louisville KY 40222-4939
Phone: (502) 289-9306
Fax: (502) 385-6687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3015109 Kentucky

Profile Details

NPI number 1255948154
LBN Legal business name Berghausen, Kathleen B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2020
Last updated Jun 2nd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255948154 NPPES
Kentucky MEDICAID 3015109

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