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Katelyn Burkhart, CDOSUPPORTBROKER
Peer Specialist in Bowling Green, Kentucky
NPI 1548737414

Katelyn Burkhart is a Peer Specialist based in Bowling Green, KY. Katelyn Burkhart practices in Bowling Green, KY and has the professional credentials of CDOSUPPORTBROKER. The NPI Number for Katelyn Burkhart is 1548737414 and holds a License No. (Kentucky).

The current practice location address for Katelyn Burkhart is 380 Suwannee Trail St, Bowling Green, KY and can be reached out via phone at 270-901-5000 and via fax at 270-842-5268.

Location: 380 Suwannee Trail St, Bowling Green, KY, 42103-7956
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Provider Profile Details
NPI Number
1548737414
Provider Name
Katelyn Burkhart
Credential
CDOSUPPORTBROKER
Provider Entity Type
Individual
Gender
Female
Address
380 Suwannee Trail St, Bowling Green, KY, 42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
Provider Enumeration Date
10/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30604011 05 KY
institution
Provider Business Practice Location Address Details
Address
380 Suwannee Trail St
City
State
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider Business Mailing Address Details
Address
380 Suwannee Trail St
City
State
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Kentucky)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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