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Mr. Kevin Barry Fitzgerald, PA-C
Physician Assistant in Tieton, Washington
NPI 1548565682

Kevin Barry Fitzgerald is a Physician Assistant based in Talkeetna, WA. Kevin Barry Fitzgerald practices in Tieton, WA and has the professional credentials of PA-C. The NPI Number for Kevin Barry Fitzgerald is 1548565682 and holds a License No. 2104 (Washington).

The current practice location address for Kevin Barry Fitzgerald is 915 Wisconsin Ave, Tieton, WA and can be reached out via phone at 509-673-0044 and via fax at 509-673-0054.

Location: 915 Wisconsin Ave, Tieton, WA, 99676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548565682
Provider Name
Kevin Barry Fitzgerald
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
915 Wisconsin Ave, Tieton, WA, 99676
Phone Number
509-673-0044
Fax Number
509-673-0054
Provider Enumeration Date
01/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2040154 05 WA
0419110 01 WA LABOR AND INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
915 Wisconsin Ave
City
Tieton
State
Washington
Zip
98947-9802
Phone Number
509-673-0044
Fax Number
509-673-0054
person
Provider Business Mailing Address Details
Address
915 Wisconsin Ave
City
Tieton
State
Washington
Zip
98947-9802
Phone Number
509-673-0044
Fax Number
509-673-0054
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60427970 (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.
2104 (Alaska)
Definition
Definition to come...
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