Mendheim, Kathleen

Mendheim, Kathleen is an individual health care provider with primary practice located at 287 Healthwest Dr , Dothan AL 36303-2031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mendheim, Kathleen can be contacted via phone (334) 792-9500.

Contact Information

Primary practice address
287 Healthwest Dr Dothan AL 36303-2031
Fax: (334) 793-1815
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-110354 Alabama

Profile Details

NPI number 1174873772
LBN Legal business name Mendheim, Kathleen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Apr 30th, 2017 - about 8 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 1174873772 NPPES
Alabama Other 511-57591 BC/BS AL
Alabama Other 511-57583 BC/BS AL
Alabama Other 1-110354 BC/BS AL

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