Individual
MS. KATHLEEN MARIE MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, M/S 8G-1, SEATTLE, WA 98105-3901
(206) 987-5020
Mailing address
20221 41ST PL NE, LAKE FOREST PARK, WA 98155-1646
(206) 362-8611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30002390
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4300983
—
MT
05
—
806599300
—
ID
05
—
9608514
—
WA
05
—
NP625WA
—
AK
Enumeration date
07/30/2006
Last updated
07/09/2007
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