Individual
KATRINA ANN BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15435 W 134TH PL, OLATHE, KS 66062-6135
(802) 881-7520
Mailing address
1310 NW 74TH PL, KANSAS CITY, MO 64118-8410
(802) 881-7520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055.0031443
VT
363A00000X
Physician Assistant
15-02365
KS
363A00000X
Physician Assistant
Primary
1539
NH
Other
Enumeration date
11/06/2019
Last updated
10/16/2020
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