| Katie Kern Pmhnp | |
|
707 S Grady Way Ste 600 Renton WA 98057-3227 | |
| (206) 338-5303 | |
| Not Available |
| Full Name | Katie Kern Pmhnp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 707 S Grady Way Ste 600, Renton, Washington |
| Authorized Official Name and Position | Katie Rose Kern (PRESIDENT) |
| Authorized Official Contact | 2063385303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Kern Pmhnp 707 S Grady Way Ste 600 Renton WA 98057-3227 Ph: (206) 338-5303 | Katie Kern Pmhnp 707 S Grady Way Ste 600 Renton WA 98057-3227 Ph: (206) 338-5303 |
| NPI Number | 1346883378 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 1951722511 |
|---|---|
| Medicare Enrollment ID | O20200608000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346883378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Katie Rose Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023269768 PECOS PAC ID: 0840478087 Enrollment ID: I20140207000310 |
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