Healthcare Provider Details

I. General information

NPI: 1386774271
Provider Name (Legal Business Name): KATHRYN LEIGH HURN M.A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN LEIGH MICHAELS M.A

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 STOCKDALE HWY
BAKERSFIELD CA
93309-2656
US

IV. Provider business mailing address

5121 STOCKDALE HWY
BAKERSFIELD CA
93309-2656
US

V. Phone/Fax

Practice location:
  • Phone: 818-472-3245
  • Fax:
Mailing address:
  • Phone: 818-472-3245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: