Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 7459 | KS |
N | 208600000X | Surgeon | 7459 | KS |
N | 208200000X | Surgeon | OP60756925 | WA |
N | 208600000X | Surgeon | OP60756925 | WA |
N | 2086S0129X | Vascular Surgeon | 2893 | TN |
Y | 2086S0129X | Vascular Surgeon | OP60756925 | WA |
NPI | 1003137506 |
---|---|
Provider Name | Katherine Irene Warner |
First Address | Yakima, WA 98902 |
Second Address | Yakima, WA 98902-4882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 16/07/2021 |