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General NPI Number Information
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NPI Number | 1245766856
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Entity Type | Individual
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Provider Name | KATELYN POWELL NP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 16233 SYLVESTER RD SW
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City | BURIEN
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State | WA
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Zip | 98166-3045
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Country | US
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Telephone | 203-242-7822
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Fax | 206-244-2133
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Provider Business Mailing Address
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Address Line | 1350 SW 175TH ST
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City | NORMANDY PARK
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State | WA
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Zip | 98166-3676
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Country | US
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Telephone | 503-516-4341
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP60978888
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License Number State | WA
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