Individual
KATHLEEN MARY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
(425) 672-6518
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
AP30003465
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP30003465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9617606
—
WA
Enumeration date
05/18/2006
Last updated
04/12/2021
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