Individual
DR. KATHLEEN SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
401 BROADWAY, SEATTLE, WA 98104-2304
(206) 744-9690
(206) 744-9914
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60711963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992249445
—
WA
01
—
8966587
OTHER
WA
Enumeration date
12/16/2016
Last updated
07/21/2022
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