Individual
MRS. KATHLEEN JANE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
826 N 6TH ST, MONTICELLO, IN 47960-1752
(574) 583-3333
(574) 583-2896
Mailing address
826 N 6TH ST, MONTICELLO, IN 47960-1752
(574) 583-3333
(574) 583-2896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000299A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000335832
ANTHEM BLUE CROSS
—
01
—
1540739
UNITED MINEWORKERS
—
05
—
200121420
—
IN
01
—
500002653
RAILROAD MEDICARE
—
01
—
5531418
AETNA
—
Enumeration date
05/24/2005
Last updated
09/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us