# MS. KATHRYN THENA MATTHEWS

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

## Provider details

- **NPI number:** 1134255938
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0110001717 | VA | Yes |
| 363A00000X | Physician Assistant | PA10005153 | WA | — |
| 363AS0400X | Surgical Physician Assistant | PA10005153 | WA | — |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 01/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0251995 | STATE L&I | WA |
| 05 | — | 2003416 | — | WA |