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Individual

KATHLEEN A LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30002250
WA
363LP0200X
Pediatric Nurse Practitioner
RN00078578
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9611435
WA
Enumeration date
04/17/2007
Last updated
03/30/2021
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