MEDICARE: KATHLEEN GREENAN MURPHY RN

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
1	163W00000X	Registered Nurse	RN00079832	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN00079832	OTHER	WA	RN LICENSE

General Provider Information

NPI Number	:	1982958880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN GREENAN MURPHY RN

Provider Business Mailing Address
First Line	:	20301 32ND AVE S
Second Line	:
City	:	SEATAC
State	:	WA
Zip	:	98198-5720
Country	:	US
Telephone Number	:	206-631-4100
Fax Number	:	206-631-4162

Provider Business Practice Location Address
First Line	:	20301 32ND AVE S
Second Line	:
City	:	SEATAC
State	:	WA
Zip	:	98198-5720
Country	:	US
Telephone Number	:	206-631-4100
Fax Number	:	206-631-4162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	10/31/2012

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