Kathleen Marie Bockhold in Southaven - Nurse Practitioner
Kathleen Marie Bockhold - NPI 1285808626
Kathleen Marie Bockhold is a Nurse Practitioner in Southaven, Mississippi. Kathleen Marie Bockhold practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kathleen Marie Bockhold is 1285808626. The last update date is 2010-09-15.
Kathleen Marie Bockhold's current location address is 122 Airways Pl, Southaven, Mississippi. You can contact this provider via phone number 6623499990 and fax number 6623492620. The mailing address for Kathleen Marie Bockhold is 122 Airways Pl, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathleen Marie Bockhold |
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Address | 122 Airways Pl, Southaven, Mississippi |
Phone Number | 6623499990 |
Fax Number | 6623492620 |
Sole Proprietor | N |
Credentials | MSN, ARNP- |
NPI Number Detail
NPI Number | 1285808626 |
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Provider Enumeration Date | 2008-04-16 |
Last Updated Date | 2010-09-15 |
Provider Mailing Address Detail
Address | 122 Airways Pl |
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City | Southaven |
State | Mississippi (MS) |
Post Code | 386715872 |
Phone Number | 6623499990 |
Fax Number | 6623492620 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | A810342 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Kathleen Marie Bockhold's 1285808626?
The Kathleen Marie Bockhold's NPI (National Provider Identifier) Number is 1285808626. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kathleen Marie Bockhold?
The Kathleen Marie Bockhold is physically situated at 122 Airways Pl, in the city of Southaven, state of MS, with the postal code 386715872.
What is Kathleen Marie Bockhold's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathleen Marie Bockhold's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285808626 to Kathleen Marie Bockhold?
The Centers for Medicare & Medicaid Services originally issued the 1285808626 to Kathleen Marie Bockhold on 2008-04-16.
When was the information related to Kathleen Marie Bockhold most recently updated or refreshed?
The details pertaining to the Kathleen Marie Bockhold, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-15.
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