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NPI Code Detail

MEDICARE: KATHRYN BENDER BCIAC, SENIOR FELLOW

MEDICARE:   KATHRYN  BENDER  BCIAC, SENIOR FELLOW
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
1225500000XRespiratory/Developmental/Rehabilitative Specialist/Technologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12022209OTHERCAKAISER PROVIDER #

General Provider Information

NPI Number : 1871619288
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN BENDER BCIAC, SENIOR FELLOW
Provider Business Mailing Address
First Line : PO BOX 460891
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94146-0891
Country : US
Telephone Number : 415-821-2015
Fax Number :
Provider Business Practice Location Address
First Line : 1330 BROADWAY
Second Line : SUITE 938
City : OAKLAND
State : CA
Zip : 94612-2503
Country : US
Telephone Number : 510-645-5909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ KATHRYN BENDER BCIAC, SENIOR FELLOW” Practice Location

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