Provider Demographics
NPI:1912361098
Name:SCHERPELZ, KATHRYN POINDEXTER (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:POINDEXTER
Last Name:SCHERPELZ
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:POINDEXTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-520-5700
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 357470
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6422
Practice Address - Country:US
Practice Address - Phone:206-616-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61073108207ZN0500X, 207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
No207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1912361098Medicaid