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General NPI Number Information
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NPI Number | 1386001865
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Entity Type | Organization
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Legal Business Name | KATHERINE M. MCKINNEY DDS, PS.
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 5726 LAKE WASHINGTON BLVD NE STE 2
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City | KIRKLAND
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State | WA
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Zip | 98033-7425
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Country | US
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Telephone | 425-284-0515
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Fax |
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Provider Business Mailing Address
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Address Line | 5726 LAKE WASHINGTON BLVD NE STE 2
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City | KIRKLAND
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State | WA
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Zip | 98033-7425
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Country | US
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Telephone | 425-284-0515
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANDREA LEE SAWYER
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Credential |
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Telephone | 425-284-0515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9147
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License Number State | WA
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