KATHLEEN ANNE KENNY CNM PMHNP NPI 1831386028

NPI Information

  • NPI: 1831386028
  • Provider Name: KATHLEEN ANNE KENNY, CNM, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22722 29TH DR SE STE 100
    BOTHELL, WA
    ZIP 98021
  • Phone: (206) 300-2538

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NPI Details

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
Fax: (206) 649-7098

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 5/2/2024.

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
1367A00000XAdvanced Practice MidwifeAP30006613WASHINGTONNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61095962WASHINGTONYes

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
10252114OTHERWASHINGTONL&I
21831386028MEDICAIDWASHINGTON

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: 11/21/2025

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