Individual
KESLI ANNE DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1702 TACOMA AVE S STE A, TACOMA, WA 98402-1700
(877) 522-1275
(833) 888-7145
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
149515
AK
363A00000X
Physician Assistant
Primary
PA61395609
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149515
STATE OF ALASKA
AK
05
—
1704447
—
AK
Enumeration date
09/11/2018
Last updated
03/10/2025
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