Individual
DR. KATHLEEN A BERNHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
851 E 5TH ST, WASHINGTON, MO 63090-3135
(636) 239-8338
(636) 239-8553
Mailing address
851 E 5TH ST, WASHINGTON, MO 63090-3135
(636) 239-8338
(636) 239-8553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R1P69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203169404
—
MO
Enumeration date
12/27/2005
Last updated
05/04/2011
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