Individual
MS. KATHY M INGELSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Mailing address
65880 93RD ST, BEND, OR 97701-8960
(541) 318-7527
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200350026NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950048NP
OR
Other
Enumeration date
10/11/2006
Last updated
11/08/2013
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