Kathleen Anne Kenny, CNM, PMHNP | |
22722 29th Dr Se Ste 100, Bothell, WA 98021-4420 | |
(206) 300-2538 | |
(206) 649-7098 |
Full Name | Kathleen Anne Kenny |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 22722 29th Dr Se Ste 100, Bothell, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831386028 | NPI | - | NPPES |
0252114 | Other | WA | L&I |
1831386028 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | AP30006613 (Washington) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61095962 (Washington) | Primary |
Entity Name | Obstetrix Medical Group Of Washington Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861599573 PECOS PAC ID: 3577451947 Enrollment ID: O20040308000679 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Anne Kenny, CNM, PMHNP 7511 Greenwood Ave N # 218, Seattle, WA 98103-4627 Ph: (206) 300-2538 | Kathleen Anne Kenny, CNM, PMHNP 22722 29th Dr Se Ste 100, Bothell, WA 98021-4420 Ph: (206) 300-2538 |
Kelly P Grenner, ARNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10025 Ne 186th St, Bothell, WA 98011 Phone: 425-486-9131 Fax: 425-486-9490 | |
Mr. Terry Duran, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15515 Juanita Woodinville Way Ne, Bothell, WA 98011 Phone: 425-298-5278 | |
Mr. Chitchawal Sahatevasukont, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22722 29th Dr Se, Ste 100, Bothell, WA 98021 Phone: 770-363-0793 | |
Grace Unae Lee, FNP ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11913 Ne 195th St, Bothell, WA 98011 Phone: 206-302-1200 | |
Dr. Kosuke Niitsu, PHD, ARNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17927 113th Ave Ne, Bothell, WA 98011 Phone: 425-352-3183 Fax: 425-352-3581 | |
Dr. Erika Lee Frye Peschel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1909 214th St Se Ste 110, Bothell, WA 98021 Phone: 425-488-4988 | |
Marlene J Graves, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 300, Bothell, WA 98021 Phone: 206-505-1040 |