Individual provider · Type 1 NPI

Katherine Kilkenny

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1730624941 Active

Practice location

4212 NE Broadway
Portland, OR 97213

Fax (509) 338-7706

Other practice locations

  • 4212 NE Broadway, Portland, OR 97213-1422 · (503) 249-8787

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201810546RN (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201900092NPPP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1730624941

Katherine Kilkenny's National Provider Identifier is 1730624941, issued on Dec 23, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Feb 12, 2020.