Individual
KATHLEEN ANNE KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, PMHNP
Contact information
Practice address
22722 29TH DR SE STE 100, BOTHELL, WA 98021-4420
(206) 300-2538
(206) 649-7098
Mailing address
7511 GREENWOOD AVE N # 218, SEATTLE, WA 98103-4627
(206) 300-2538
(206) 649-7098
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61095962
WA
367A00000X
Advanced Practice Midwife
AP30006613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252114
L&I
WA
05
—
1831386028
—
WA
Enumeration date
10/01/2007
Last updated
05/02/2024
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