Individual
MS. KATHRYN ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, FNP,MSN
Contact information
Practice address
101 E BROADWAY AVE, MONTESANO, WA 98563-3703
(360) 249-4097
Mailing address
101 E BROADWAY AVE, MONTESANO, WA 98563-3703
(360) 249-4097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30004525
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30004525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150588
L&I
—
05
—
666202
—
WA
05
—
7900483
—
WA
05
—
9623349
—
WA
01
—
LEO4466
RBS
VA
Enumeration date
05/01/2007
Last updated
09/11/2025
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