# KATHRYN L KUNDERT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093865503
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10001459 | WA | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 03/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0039581 | LABOR AND INDUSTRIES \# | WA |
| 05 | — | 8368177 | — | WA |
| 01 | — | KU6331 | BLUE SHIELD \# | WA |
| 01 | — | US0818577 | AETNA PCP PIN | WA |