Individual
KATHERINE S HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
939 CAROLINE ST # 3E, PORT ANGELES, WA 98362-3909
(360) 565-0999
(360) 452-7303
Mailing address
PO BOX 850, PORT ANGELES, WA 98362
(360) 565-9237
(360) 452-7303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023985
WA
Other
Enumeration date
07/06/2006
Last updated
07/21/2022
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