Individual
KATHRYN LYNN WHITELAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
(206) 520-5620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60207540
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0275333
L&I
WA
05
—
1285939009
—
WA
Enumeration date
01/26/2011
Last updated
04/19/2012
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