Brault, Kathryn S

Brault, Kathryn S is an sole proprietor health care provider with primary practice located at 1305 Mansfield St Ste 4 , Richland WA 99352-3588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brault, Kathryn S can be contacted via phone (509) 946-6124.

Contact Information

Primary practice address
1305 Mansfield St Ste 4 Richland WA 99352-3588
Fax: (866) 692-4493
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007186 Washington

Profile Details

NPI number 1023047214
LBN Legal business name Brault, Kathryn S
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2006
Last updated May 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023047214 NPPES
Washington MEDICAID 9650177

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