Provider Demographics
NPI:1982958880
Name:MURPHY, KATHLEEN GREENAN (RN)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:GREENAN
Last Name:MURPHY
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 1:20301 32ND AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98198-5720
Mailing Address - Country:US
Mailing Address - Phone:206-631-4100
Mailing Address - Fax:206-631-4162
Practice Address - Street 1:20301 32ND AVE S
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98198-5720
Practice Address - Country:US
Practice Address - Phone:206-631-4100
Practice Address - Fax:206-631-4162
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00079832163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN00079832OtherRN LICENSE