Provider Demographics
NPI:1043255276
Name:BATTS, KATHERINE LOUISE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:LOUISE
Last Name:BATTS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:12333 NE 130TH LN
Practice Address - Street 2:SUITE 420
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7467
Practice Address - Country:US
Practice Address - Phone:425-250-4700
Practice Address - Fax:425-899-5523
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10000750363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP21238Medicare UPIN
WAAB36648Medicare ID - Type Unspecified
WAG8805881Medicare ID - Type Unspecified
WAAB35180Medicare ID - Type Unspecified
WAAB34935Medicare ID - Type Unspecified