Provider Demographics
NPI:1457604449
Name:QUIMBY, G. KATHLEEN (RN)
Entity Type:Individual
Prefix:MRS
First Name:G. KATHLEEN
Middle Name:
Last Name:QUIMBY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 SW KENYON ST.
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-8126
Mailing Address - Country:US
Mailing Address - Phone:206-252-9007
Mailing Address - Fax:206-743-3117
Practice Address - Street 1:2601 SW KENYON ST.
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-8126
Practice Address - Country:US
Practice Address - Phone:206-252-9007
Practice Address - Fax:206-743-3117
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00047638163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse