Provider Demographics
NPI:1215826425
Name:BLEAM, KATHY L (LPN)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:BLEAM
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:L
Other - Last Name:SCHIERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:8717 E KNOX AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2314
Mailing Address - Country:US
Mailing Address - Phone:509-216-4266
Mailing Address - Fax:
Practice Address - Street 1:4305 E TRENT AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-1315
Practice Address - Country:US
Practice Address - Phone:509-795-3133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00037092164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse