Henry, Kathleen Christine
Henry, Kathleen Christine is an individual health care provider with primary practice located at 411 Fortuyn Rd , Grand Coulee WA 99133-8718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henry, Kathleen Christine can be contacted via phone (509) 633-1911.Contact Information
Primary practice address
411 Fortuyn Rd
Grand Coulee WA 99133-8718
Phone: (509) 633-1911
Fax: (509) 633-1933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61036303 | Washington |
Profile Details
| NPI number | 1740653807 |
|---|---|
| LBN Legal business name | Henry, Kathleen Christine |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2015 |
| Last updated | Jun 23rd, 2020 - about 5 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 | 1740653807 | NPPES |
| Washington | MEDICAID | 2155854 | |
| Washington | Other | 0423364 |
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