Healthcare Provider Details

I. General information

NPI: 1467419978
Provider Name (Legal Business Name): KATHIE LP TOOMEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 03/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N DIVISION ST
AUBURN WA
98001-4939
US

IV. Provider business mailing address

8248 154TH AVE SE
NEWCASTLE WA
98059-9272
US

V. Phone/Fax

Practice location:
  • Phone: 253-833-7711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD00039477
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: