Individual
KATHRINE OMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1415 N HOUK RD STE A, SPOKANE VALLEY, WA 99216-1043
(509) 924-1990
(509) 232-3059
Mailing address
1415 N HOUK RD STE A, SPOKANE VALLEY, WA 99216-1043
(509) 924-1990
(509) 232-3059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60696752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60696752
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/15/2016
Last updated
09/15/2016
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