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General NPI Number Information
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NPI Number | 1467217083
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Entity Type | Organization
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Legal Business Name | KERN PSYCHIATRIC HEALTH AND WELLNESS CENTER INC
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2204 Q ST STE B
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2946
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Country | US
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Telephone | 661-323-6410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10748
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City | BAKERSFIELD
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State | CA
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Zip | 93389-0748
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ROGELIO MONZON
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Credential |
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Telephone | 602-509-2301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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