Burkhart, Katelyn
Burkhart, Katelyn is an individual health care provider with primary practice located at 380 Suwannee Trail St , Bowling Green KY 42103-7956. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Burkhart, Katelyn can be contacted via phone (270) 901-5000.Contact Information
Primary practice address
380 Suwannee Trail St
Bowling Green KY 42103-7956
Phone: (270) 901-5000
Fax: (270) 842-5268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Kentucky |
Profile Details
| NPI number | 1548737414 |
|---|---|
| LBN Legal business name | Burkhart, Katelyn |
| Credentials | CDO SUPPORT BROKER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2018 |
| Last updated | Oct 30th, 2018 - about 7 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 | 1548737414 | NPPES |
| Kentucky | MEDICAID | 30604011 |
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