Individual
KELSEY PEARSON
Active
Individual
KELSEY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005626
MD
363AS0400X
Surgical Physician Assistant
Primary
PA60644257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194122002
NPI
WA
Enumeration date
11/21/2014
Last updated
12/08/2016
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