Katlyn Ann Brotherton
Individual provider Active NPI Case Manager/Care Coordinator · Kennett, MO
NPI 1609565399 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1609565399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1226 Independence Ave
Kennett, MO 63857-1316 - Phone
- (573) 559-2380
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1226 Independence Ave
Kennett, MO 63857-1316
Mailing address
1226 Independence Ave
Kennett, MO 63857-1316
Phone (573) 559-2380
Other providers in Kennett, MO
- Charles Broadway
- Sarah Faith Brodeur
- Ashtyn Claire Brooks
- Hailee Brooks
- Michelle Brooks
- Dellana Broussard
- Beulah Mae Brown
- Brittani Dawn Brown
- Chad Brown
- Gabriella Christen Brown
All providers in Kennett, MO · Case Manager/Care Coordinator in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.