Individual
KATHERINE R REDMON
Active
Individual
KATHERINE R REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
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
Update your record
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