Healthcare Provider Details

I. General information

NPI: 1912361098
Provider Name (Legal Business Name): KATHRYN POINDEXTER SCHERPELZ MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN POINDEXTER MD, PHD

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 357470
SEATTLE WA
98195-6422
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-616-9343
  • Fax:
Mailing address:
  • Phone: 206-520-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License NumberMD61073108
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberMD61073108
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: