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NPI Verification

National Provider Identifier: 1316975741

Kathleen C Antolak, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Primary

Specialist

Code: 174400000X

Practice Address

1501 NE MEDICAL CENTER DR

BEND, OR 977016051

Phone: 541-382-2811

NPI Enumeration Date

June 28, 2006

NPI Number

1316975741

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry