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NPI Code Detail

MEDICARE: KATHERINE BRIANNE PAUL

MEDICARE: KATHERINE BRIANNE PAUL
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1992508014
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE BRIANNE PAUL
Provider Business Mailing Address
First Line : 557 SE SHOEMAKER PL
Second Line :
City : PULLMAN
State : WA
Zip : 99163-5528
Country : US
Telephone Number : 208-651-3334
Fax Number :
Provider Business Practice Location Address
First Line : 920 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2079
Country : US
Telephone Number : 509-254-5053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2025
Last Update Date : 12/15/2025

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Directions to “ KATHERINE BRIANNE PAUL ” Practice Location

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