Individual
MRS. KATHLEEN SARAH MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1000
(253) 968-1110
(877) 874-1031
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7341
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2-070401
AL
164W00000X
Licensed Practical Nurse
Primary
LP043776
AZ
Other
Enumeration date
10/05/2015
Last updated
06/06/2019
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