Healthcare Provider Details

I. General information

NPI: 1447741632
Provider Name (Legal Business Name): KERN COUNTY PROBATION DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 RIDGE ROAD
BAKERSFIELD CA
93305
US

IV. Provider business mailing address

P.O. BOX 3309
BAKERSFIELD CA
93385
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-4100
  • Fax: 661-868-4186
Mailing address:
  • Phone: 661-868-4100
  • Fax: 661-868-4186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM P DICKINSON
Title or Position: CHIEF PROBATION OFFICER
Credential:
Phone: 661-868-4102