Doctor Name: | KATHLEEN E TUCHOLKE |
NPI Number: | 1659529345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 209007234 |
Business Practice Address: | 620 N Park Dr Selah, WA - 989424100 |
Business Phone Number: | 5096975511 |
Business Fax Number: | 5092252707 |
Mailing Address: | 3800 Summitview Ave, YAKIMA |
State: | WA |
Postal Code: | 989022715 |
Phone Number: | 5092487849 |
Fax Number: | 5092252707 |
NPI Enumeration Date: | 09/05/2008 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209007234 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |