Kathy Joy Matson, LPN
Licensed Practical Nurse in Centralia, WA. Individual provider (NPI-1).
NPI number1558030650
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1558030650
- Entity type
- Individual (NPI-1)
- Name
- Kathy Joy Matson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2021
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP00049999 | WA | Yes |
Practice location
917 S Scheuber RdCentralia, WA 98531-9027
Phone 360-736-9384
Mailing address
18311 Apricot St SwRochester, WA 98579-9229
Phone 360-790-4340
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