Individual
MS. KATHRYN RICHEY NOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HIDDEN MEADOWS LN, FRIDAY HARBOR, WA 98250-7089
(360) 378-5186
Mailing address
301 HIDDEN MEADOW LANE, FRIDAY HARBOR, WA 98250
(360) 378-5186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00000666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7681059
DSHS PROVIDER
WA
01
—
77416
REGENCE BLUE SHIELD PROVI
WA
Enumeration date
02/07/2007
Last updated
07/08/2007
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