Provider Demographics
NPI:1134286867
Name:RAHN, KATHRYN MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MARGARET
Last Name:RAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16290 REITAN RD NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-1002
Mailing Address - Country:US
Mailing Address - Phone:206-855-8890
Mailing Address - Fax:206-855-8864
Practice Address - Street 1:793 ERICKSEN AVE NE
Practice Address - Street 2:SUITE 123
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1876
Practice Address - Country:US
Practice Address - Phone:206-855-8890
Practice Address - Fax:206-855-8864
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000296772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1097633Medicaid
WAF35635Medicare UPIN