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Individual

KATHERINE R REDMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
201 16TH AVE EAST, SEATTLE, WA 98112-5260
(206) 326-3000
(206) 326-2785

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10003254
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039581
LABOR AND INDUSTRIES #
WA
01
5196RE
BLUE SHIELD #
WA
05
8329237
WA
01
970021984
RAILROAD MC#
WA
01
US2581144
AETNA SPECIALIST PIN
WA
Enumeration date
01/09/2007
Last updated
04/19/2018
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