Provider Demographics
NPI:1134337827
Name:BRENDLINGER, KATHLEEN GLADYS (DC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:GLADYS
Last Name:BRENDLINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 MILL ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-4806
Mailing Address - Country:US
Mailing Address - Phone:215-785-3700
Mailing Address - Fax:
Practice Address - Street 1:103 MILL ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-4806
Practice Address - Country:US
Practice Address - Phone:215-785-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-002903-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABR104114Medicare ID - Type Unspecified