Doctor Name: | KATHERINE R REDMON |
NPI Number: | 1003965161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | PA10003254 |
Business Practice Address: | 33501 1st Way S Federal Way, WA - 980036208 |
Business Phone Number: | 2538382400 |
Business Fax Number: | |
Mailing Address: | 1100 Olive Way Msc M4-pa, SEATTLE |
State: | WA |
Postal Code: | 981011873 |
Phone Number: | 2065155811 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA10003254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |