Individual
KATELYN MARIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 NW BUCKLIN HILL RD STE 202, SILVERDALE, WA 98383-8362
(360) 377-3776
Mailing address
203 MADRONA WAY NE UNIT 1, BAINBRIDGE ISLAND, WA 98110-1928
(715) 892-7107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61067606
WA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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