Organization
KERN MEDICAL CENTER
Active
Organization
KERN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE D PROFFITT PA (MEDICAL PROVIDER)
(661) 326-2200
Entity
Organization
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2200
Mailing address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13811
PA LICENSE NUMBER
CA
Enumeration date
12/30/2011
Last updated
12/30/2011
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