Kathryn L Soudah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD27438 Issued in OR

Practice address

5025 Rd 68 Ste G #186
Pasco, WA 99301

Phone

(541) 567-5305

NPI assigned

Jan 3, 2006

Last updated

Feb 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1114905825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 RD 68 STE G #186",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 RD 68 STE G #186",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "541-567-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDAH",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60234868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD27438",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-11555",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Nicholas Sorensen, PHARMD
• Emma Samantha Soriano
• Paola Soto Pena
• Juan I Soto
• Noemi Rut Soto
• Monique Marie Soulia
• South Eastern Washington Service Center of the Deaf and Hard of Hearin
• Spanish Lab LLC
• Jacob R Spanjer
• Spencer S. Jilek, DDS

• Family Medicine Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.