- Practice location
- 1501 NE Medical Center Dr, Bend, OR 97701-6051
- Phone
- 541-382-2811
- Fax
- —
- Last updated
- January 29, 2021
Kathleen C Antolak is a Family Medicine based in Bend, OR. Kathleen C Antolak practices in Bend, OR and has the professional credentials of MD. The NPI Number for Kathleen C Antolak is 1316975741 and holds a License No. MD23421 (OR). The current practice location address for Kathleen C Antolak is 1501 NE Medical Center Dr, Bend, OR 97701-6051 and can be reached out via phone at 541-382-2811.
Provider Profile Details
- NPI Number
- 1316975741
- Provider Name
- Kathleen C Antolak
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1501 NE Medical Center Dr, Bend, OR 97701-6051
- Phone Number
- 541-382-2811
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 28, 2006
- Last Update Date
- January 29, 2021
- Certification Date
- January 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1501 NE Medical Center Dr
Bend, OR 97701-6051 - City
- Bend
- State
- Oregon
- Zip
- 97701-6051
- Phone Number
- 541-382-2811
Provider Business Mailing Address Details
- Address
- 1501 NE Medical Center Dr
Bend, OR 97701-6051 - City
- Bend
- State
- OR
- Zip
- 97701-6051
- Phone Number
- 541-382-2811
License Information
- License Number (1)
- MD23421
- License State (1)
- OR
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- License Number (2)
- MD23421
- License State (2)
- OR
- Taxonomy (2)
- Specialist · 174400000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kathleen C Antolak, MD?
The NPI number of Kathleen C Antolak, MD is 1316975741. It was assigned on June 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Kathleen C Antolak, MD?
Kathleen C Antolak, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number MD23421.
Where does Kathleen C Antolak, MD practice?
The practice location is 1501 NE Medical Center Dr, Bend, OR 97701-6051. The office can be reached at 541-382-2811 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316975741 directly on the NPPES registry website.