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Kellie Christine Hergenrader
Physician Assistant in Port Townsend, Washington
NPI 1447911540

Kellie Christine Hergenrader is a Physician Assistant based in Port Townsend, WA. Kellie Christine Hergenrader practices in Port Townsend, WA. The NPI Number for Kellie Christine Hergenrader is 1447911540 and holds a License No. (Washington).

The current practice location address for Kellie Christine Hergenrader is 915 Sheridan St, Port Townsend, WA and can be reached out via phone at 360-385-4848.

Location: 915 Sheridan St, Port Townsend, WA, 98368-2443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447911540
Provider Name
Kellie Christine Hergenrader
Credential
Provider Entity Type
Individual
Gender
Female
Address
915 Sheridan St, Port Townsend, WA, 98368-2443
Phone Number
360-385-4848
Fax Number
Provider Enumeration Date
01/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
915 Sheridan St
City
Port Townsend
State
Washington
Zip
98368-2931
Phone Number
360-385-4848
Fax Number
person
Provider Business Mailing Address Details
Address
915 Sheridan St
City
Port Townsend
State
Washington
Zip
98368-2931
Phone Number
360-385-4848
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA61479777 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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