Bickerstaff, Kathleen A

Bickerstaff, Kathleen A is an individual health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. 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. Bickerstaff, Kathleen A can be contacted via phone (402) 552-2112.

Contact Information

Primary practice address
988102 Nebraska Medical Ctr Omaha NE 68198-8102
Phone: (402) 552-2112
Fax: (402) 552-2119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 110400 Nebraska

Profile Details

NPI number 1326005760
LBN Legal business name Bickerstaff, Kathleen A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jun 29th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326005760 NPPES
Nebraska MEDICAID 47078557539

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