Individual
KATHLEEN INGRID BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CST
Contact information
Practice address
1204 N VERCLER RD, SUITE 201, SPOKANE VALLEY, WA 99216-1020
(509) 228-1000
(509) 252-9300
Mailing address
PO BOX 3868, SPOKANE, WA 99220-3868
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN00114383
WA
246ZS0410X
Surgical Technologist
ST60145038
WA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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