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NPI Code Detail

MEDICARE: KATIE KERN A.R.N.P.

MEDICARE:   KATIE  KERN  A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner200850132NPOR
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP60422978WA

General Provider Information

NPI Number : 1023269768
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE KERN A.R.N.P.
Provider Business Mailing Address
First Line : 17154 114TH LN SE
Second Line :
City : RENTON
State : WA
Zip : 98055-5933
Country : US
Telephone Number : 360-377-3776
Fax Number : 360-373-2096
Provider Business Practice Location Address
First Line : 707 S GRADY WAY STE 600
Second Line :
City : RENTON
State : WA
Zip : 98057-3227
Country : US
Telephone Number : 206-338-5303
Fax Number : 833-354-0982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2008
Last Update Date : 03/16/2020

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Directions to “ KATIE KERN A.R.N.P.” Practice Location

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