Russell, Kathryn Renee-Smith

Russell, Kathryn Renee-Smith is an sole proprietor health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Russell, Kathryn Renee-Smith can be contacted via phone (206) 288-1000.

Contact Information

Primary practice address
825 Eastlake Ave E Seattle WA 98109-4405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP60495735 Washington

Profile Details

NPI number 1447551114
LBN Legal business name Russell, Kathryn Renee-Smith
Credentials RN, BSN, ARNP, MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2010
Last updated May 3rd, 2016 - about 10 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 1447551114 NPPES
Washington MEDICAID 1447551114

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