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NPI Code Detail

MEDICARE: MS. KATHRYN A. MONROE LMP

MEDICARE: MS. KATHRYN A. MONROE LMP
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
1174400000XSpecialistMA60018851WA

General Provider Information

NPI Number : 1396905246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN A. MONROE LMP
Provider Business Mailing Address
First Line : 6823 OSWEGO PL NE
Second Line : SUITE #1
City : SEATTLE
State : WA
Zip : 98115-8415
Country : US
Telephone Number : 206-527-9709
Fax Number : 206-526-2991
Provider Business Practice Location Address
First Line : 6823 OSWEGO PL NE
Second Line : SUITE #1
City : SEATTLE
State : WA
Zip : 98115-8415
Country : US
Telephone Number : 206-527-9709
Fax Number : 206-526-2991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 06/13/2008

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