KATHLEEN ANNE KENNY CNM PMHNP NPI 1831386028

NPI Information

NPI: 1831386028
Provider Name: KATHLEEN ANNE KENNY, CNM, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
22722 29TH DR SE STE 100
BOTHELL, WA
ZIP 98021
Phone: (206) 300-2538
Get Directions

Kathleen Anne Kenny, CNM, PMHNP is a psychiatric/mental health nurse practitioner in Bothell, WA. Kathleen Anne Kenny, CNM, PMHNP NPI is 1831386028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22722 29TH DR SE STE 100
BOTHELL, WA
ZIP 98021-420
Phone: (206) 300-2538

The NPI 1831386028 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 2/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61095962	WASHINGTON	Yes
2	367A00000X	Advanced Practice Midwife		AP30006613	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1831386028	MEDICAID	WASHINGTON
2	0252114	OTHER	WASHINGTON	L&I

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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