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General NPI Number Information
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NPI Number | 1407066103
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Entity Type | Individual
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Provider Name | KATHERINE JEAN KIRNER ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 541 2ND AVE
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City | TWISP
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State | WA
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Zip | 98856-1069
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Country | US
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Telephone | 509-997-2011
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Fax | 509-997-2034
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Provider Business Mailing Address
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Address Line | PO BOX 1340
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City | OKANOGAN
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State | WA
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Zip | 98840-1340
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Country | US
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Telephone | 509-422-5700
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00161963
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP30007823
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP30007823
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License Number State | WA
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