Kenny, Kathleen Anne
Kenny, Kathleen Anne is an individual health care provider with primary practice located at 22722 29Th Dr Se Ste 100 , Bothell WA 98021-4420. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kenny, Kathleen Anne can be contacted via phone (206) 300-2538.Contact Information
Primary practice address
22722 29Th Dr Se Ste 100
Bothell WA 98021-4420
Phone: (206) 300-2538
Fax: (206) 649-7098
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP30006613 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61095962 | Washington |
Profile Details
NPI number | 1831386028 |
---|---|
LBN Legal business name | Kenny, Kathleen Anne |
Credentials | CNM, PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 1st, 2007 |
Last updated | May 2nd, 2024 - about last year |
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 | 1831386028 | NPPES |
Washington | Other | 0252114 | L&I |
Washington | MEDICAID | 1831386028 | L&I |
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