Kellie Christine Hergenrader Valid NPI

Individual provider · Physician Assistant · Port Townsend, WA

NPI

1447911540

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA61479777 (WA)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-01-01

Last updated

2024-04-16