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Individual

DEBORAH R KEARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
515 MINOR AVE, STE 300, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30000066
WA
363L00000X
Nurse Practitioner
RN00048986
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111225
L AND I
WA
05
9624156
WA
Enumeration date
09/30/2005
Last updated
12/28/2009
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