Individual
DR. KATHERINE KENNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
4909 42ND AVE NW, GIG HARBOR, WA 98335-8160
(206) 854-7350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60292818
WA
208000000X
Pediatrics Physician
MD 60564662
WA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD60564662
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2012
Last updated
10/27/2021
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