Tucholke, Kathleen E

Tucholke, Kathleen E is an individual health care provider with primary practice located at 620 N Park Dr , Selah WA 98942-4100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tucholke, Kathleen E can be contacted via phone (509) 697-5511.

Contact Information

Primary practice address
620 N Park Dr Selah WA 98942-4100
Fax: (509) 225-2707
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007234 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60400436 Washington

Profile Details

NPI number 1659529345
LBN Legal business name Tucholke, Kathleen E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Mar 22nd, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659529345 NPPES
Illinois Other 2008004581 ANCC CERTIFICATION

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