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NPI Code Detail

MEDICARE: KERN UNION HIGH SCHOOL DISTRICT

MEDICARE: KERN UNION HIGH SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1407910490
Entity Type Code : Organization
Provider Name (Legal Business Name) : KERN UNION HIGH SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 5801 SUNDALE AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2924
Country : US
Telephone Number : 661-827-3105
Fax Number : 661-827-3303
Provider Business Practice Location Address
First Line : 5801 SUNDALE AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2924
Country : US
Telephone Number : 661-827-3105
Fax Number : 661-827-3303
Authorized Official
Title or Position : MANAGER SPECIAL EDUCATION
Name : DR. STEVE MOYER
Credential :
Telephone Number : 661-827-3105
Provider Enumeration Date : 12/21/2006
Last Update Date : 08/22/2020

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Directions to “KERN UNION HIGH SCHOOL DISTRICT ” Practice Location

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