Doctor Name: | KITTY CARMICHAEL |
NPI Number: | 1003922493 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, CDE |
License Number: | AP30003213 |
Business Practice Address: | 7530 204th St Ne Arlington, WA - 982238912 |
Business Phone Number: | 3604357337 |
Business Fax Number: | 3604353510 |
Mailing Address: | 22607 29th Place Ne, GRANITE FALLS |
State: | WA |
Postal Code: | 98252 |
Phone Number: | 4254285553 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | AP30003213 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |