| Kern Bhrs Mary Kay Shell | |
|
2151 College Ave Bakersfield CA 93305-4172 | |
| (661) 868-6600 | |
| (661) 861-1020 |
| Full Name | Kern Bhrs Mary Kay Shell |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2151 College Ave, Bakersfield, California |
| Authorized Official Name and Position | Stacy Kuwahara (DIRECTOR) |
| Authorized Official Contact | 6618686600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kern Bhrs Mary Kay Shell Po Box 1000 Bakersfield CA 93302-1000 Ph: (661) 868-6600 | Kern Bhrs Mary Kay Shell 2151 College Ave Bakersfield CA 93305-4172 Ph: (661) 868-6600 |
| NPI Number | 1205963113 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205963113 | NPI | - | NPPES |
| 1500 | Medicaid | CA |
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