Individual
KATHLEEN J MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
201 TAHOMA BLVD, SUITE 102, YELM, WA 98597-7735
(360) 458-7761
Mailing address
201 TAHOMA BLVD, SUITE 102, YELM, WA 98597-7735
(360) 458-7761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100674
L&I
WA
05
—
9614991
—
WA
01
—
MA7851
REGENCE
WA
Enumeration date
05/24/2006
Last updated
11/12/2014
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