Whitaker, Kathleen M

Whitaker, Kathleen M is an sole proprietor health care provider with primary practice located at 209 W North St , Lebanon IN 46052. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Whitaker, Kathleen M can be contacted via phone (765) 481-2015.

Contact Information

Primary practice address
209 W North St Lebanon IN 46052
Phone: (765) 481-2015
Fax: (765) 481-2270
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 70000213 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 70000213 Indiana
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 28056006A Indiana
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 28056006A Indiana

Profile Details

NPI number 1780838557
LBN Legal business name Whitaker, Kathleen M
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2008
Last updated Apr 9th, 2015 - about 10 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 1780838557 NPPES
Indiana MEDICAID 200983160

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