Mary Kathleen Data, N.D.
Individual provider Active NPI Family Medicine Physician · Fife, WA
NPI 1285655779 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285655779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- NT00000541 (WA)
- Practice address
- 6111 20TH St E
Fife, WA 98424-2098 - Phone
- (253) 926-2222
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT00000541 | WA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NT00000541 | WA | Yes |
Addresses
Primary practice location
6111 20TH St E
Fife, WA 98424-2098
Mailing address
6111 20TH St E
Fife, WA 98424-2098
Phone (253) 926-2222
Other names
- Dr. Katie Data
Other providers in Fife, WA
- Justin M. Cooper
- Amy Coppenbarger
- Crux Physio PLLC
- Peter Cubean
- Kevin J Currie
- Timothy Edward Day
- Gary Robert Diel
- Denise A Diharce Lopez
- Ngoc Dung Tran Dinh
- Lois Catherine Dracobly
All providers in Fife, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.