Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATHLEEN M WHITAKER, CNS
Active Sole ProprietorMS. KATHLEEN M WHITAKER, CNS is a Child & Adolescent Psychiatric Nurse healthcare provider located in LEBANON, Indiana. NPI 1780838557 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · LEBANON, IN
Registration Details
- NPI Number
- 1780838557
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2008 (17.75457557868 yrs)
- Last Updated
- Apr 9, 2015
- Licenses
-
70000213 (IN)70000213 (IN)28056006A (IN)28056006A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 W NORTH STLEBANON, IN, 46052Browse IN providers · Browse ZIP 46052
- Phone
- 7654812015
- Fax
- 7654812270
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Clinical Nurse Specialist
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
- Additional Specialty
- Substance Abuse Psychiatric Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.