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General NPI Number Information
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NPI Number | 1528879384
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Entity Type | Individual
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Provider Name | KRISTI MCKETHEN
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 720 W BOONE AVE STE 101
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City | SPOKANE
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State | WA
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Zip | 99201-2560
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Country | US
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Telephone | 509-208-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 405 E HARTSON AVE
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City | SPOKANE
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State | WA
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Zip | 99202-1343
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Country | US
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Telephone | 509-370-8789
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC61578467
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License Number State | WA
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