Individual
MRS. NKECHI KATE RUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
30230 21ST AVE S, FEDERAL WAY, WA 98003-4249
Mailing address
30230 21ST AVE S, FEDERAL WAY, WA 98003-4249
(206) 399-6141
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
ST61656235
WA
246ZS0410X
Surgical Technologist
ST61656235
WA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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