Provider Demographics
NPI:1598815482
Name:DURAND, KATHRYN (MS, LAC)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:DURAND
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:KATIA
Other - Middle Name:
Other - Last Name:DURAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LAC
Mailing Address - Street 1:704 WARREN AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4027
Mailing Address - Country:US
Mailing Address - Phone:206-547-3387
Mailing Address - Fax:
Practice Address - Street 1:704 WARREN AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4027
Practice Address - Country:US
Practice Address - Phone:206-547-3387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA703171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist