Healthcare Provider Details
I. General information
NPI: 1285946376
Provider Name (Legal Business Name): COUNTY OF KERN- KERN COUNTY PUBLIC HEALTH SERVICES DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2010
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 MOUNT VERNON AVE
BAKERSFIELD CA
93306-3302
US
IV. Provider business mailing address
1800 MOUNT VERNON AVE
BAKERSFIELD CA
93306-3302
US
V. Phone/Fax
- Phone: 661-868-0502
- Fax: 661-868-0218
- Phone: 661-868-0502
- Fax: 661-868-0218
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251300000X |
| Taxonomy | Local Education Agency (LEA) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
AMANDA
KAMMEN
Title or Position: HEALTH EDUCATOR
Credential: MPH
Phone: 661-868-0495