Provider Demographics
NPI:1669781472
Name:KINGSLAND, KATHRYN RENEE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:RENEE
Last Name:KINGSLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:RENEE
Other - Last Name:KALBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1229 MADISON ST
Mailing Address - Street 2:SUITE 1450
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3586
Mailing Address - Country:US
Mailing Address - Phone:206-215-6300
Mailing Address - Fax:206-215-6301
Practice Address - Street 1:1229 MADISON ST
Practice Address - Street 2:SUITE 1450
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3586
Practice Address - Country:US
Practice Address - Phone:206-215-6300
Practice Address - Fax:206-215-6301
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60182081363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health