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Individual
KARI B. PAULSON
Active
Individual
KARI B. PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004167
WA
363AM0700X
Medical Physician Assistant
PA10004167
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166735
L&I PIN
WA
01
—
04167U
REGENCE BLUE SHIELD PIN
WA
01
—
5364PA
REGENCE BLUE SHIELD PIN
WA
05
—
8323727
—
WA
Enumeration date
08/01/2006
Last updated
04/17/2008
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