Provider Demographics
NPI:1952711343
Name:JOHNSEY, KATHY (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:
Last Name:JOHNSEY
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 1:8700 NE BOTHELL WAY APT J202
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3695
Mailing Address - Country:US
Mailing Address - Phone:206-377-9006
Mailing Address - Fax:
Practice Address - Street 1:8700 NE BOTHELL WAY APT J202
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3695
Practice Address - Country:US
Practice Address - Phone:206-377-9006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00158542163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse