Healthcare Provider Details

I. General information

NPI: 1902856982
Provider Name (Legal Business Name): NATALIE I KREINBRINK KATHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALIE KREINBRINK KATHER MD

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 W BAY DR NW SUITE 202
OLYMPIA WA
98502-4658
US

IV. Provider business mailing address

1115 W BAY DR NW SUITE 202
OLYMPIA WA
98502-4658
US

V. Phone/Fax

Practice location:
  • Phone: 360-570-8010
  • Fax: 360-570-8009
Mailing address:
  • Phone: 360-570-8010
  • Fax: 360-570-8009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD 47535
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: