Individual
KATHERINE TERESA KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
N360303146
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021571
—
WA
Enumeration date
08/16/2012
Last updated
01/09/2017
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