Kathleen Anne Kenny, CNM, PMHNP
Nurse Practitioner, Psych/Mental Health in Bothell, WA. Individual provider (NPI-1).
Details
- NPI
- 1831386028
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Anne Kenny
- Credential
- CNM, PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2007
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP61095962 | WA | Yes |
| 367A00000X | Advanced Practice Midwife | AP30006613 | WA |
Practice location
22722 29th Dr Se Ste 100Bothell, WA 98021-4420
Phone 206-300-2538 · Fax 206-649-7098
Mailing address
7511 Greenwood Ave N # 218Seattle, WA 98103-4627
Phone 206-300-2538 · Fax 206-649-7098
Other practice locations
Bothell, WA 98011-3758
Phone 206-934-9110 · Fax 206-649-7098
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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