Individual
KATHLEEN CORWIN HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SAND POINT WAY NE, M/S RC-406, SEATTLE, WA 98105-3901
(206) 987-5223
Mailing address
7655 NE 10TH STREET, MEDINA, WA 98309
(206) 954-0635
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN60744309
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60771610
WA
Other
Enumeration date
04/18/2017
Last updated
06/23/2017
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