Hackney, Kathryn P
Hackney, Kathryn P is an individual health care provider with primary practice located at 237 Professional Way , Shelton WA 98584-4404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hackney, Kathryn P can be contacted via phone (360) 426-2500.Contact Information
Primary practice address
237 Professional Way
Shelton WA 98584-4404
Phone: (360) 426-2500
Fax: (360) 462-2500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10004637 | Washington |
Profile Details
| NPI number | 1639166176 |
|---|---|
| LBN Legal business name | Hackney, Kathryn P |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Feb 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639166176 | NPPES |
| Washington | MEDICAID | 8402349 |
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