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Individual

KATHLEEN W BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
910 W 5TH AVE, SUITE 510, SPOKANE, WA 99204-2966
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30004127
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9619412
WA
Enumeration date
10/10/2006
Last updated
01/05/2012
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