Individual
DR. KAITLYN JESSICA BATHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5808
Mailing address
673RD WOMENS HEALTH CLINIC, 5955 ZEAMER AVENUE, JOINT BASE ELMENDORF-RICHARDSON, AK 99506
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
176B00000X
Midwife
ARNP 9348769
FL
176B00000X
Midwife
CNM3438
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9348769
FL
Other
Enumeration date
10/27/2016
Last updated
08/13/2024
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