Redmon, Katherine R
Redmon, Katherine R is an individual health care provider with primary practice located at 33501 1St Way S , Federal Way WA 98003-6208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Redmon, Katherine R can be contacted via phone (253) 838-2400.Contact Information
Primary practice address
33501 1St Way S
Federal Way WA 98003-6208
Phone: (253) 838-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10003254 | Washington |
Profile Details
| NPI number | 1003965161 |
|---|---|
| LBN Legal business name | Redmon, Katherine R |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Apr 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003965161 | NPPES |
| Washington | Other | 5196RE | BLUE SHIELD # |
| Washington | Other | 0039581 | BLUE SHIELD # |
| Washington | Other | 970021984 | BLUE SHIELD # |
| Washington | MEDICAID | 8329237 | BLUE SHIELD # |
| Washington | Other | US2581144 | BLUE SHIELD # |
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