Provider Demographics
NPI:1922419118
Name:MOHNEY, KRISTIN EILEEN
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:EILEEN
Last Name:MOHNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 N 188TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3906
Mailing Address - Country:US
Mailing Address - Phone:425-232-6536
Mailing Address - Fax:
Practice Address - Street 1:915 N 188TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3906
Practice Address - Country:US
Practice Address - Phone:425-232-6536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-11
Last Update Date:2014-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide