Individual
MS. KELDA GARDNER SCHONHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-2213
Mailing address
825 EASTLAKE AVE E, PO BOX 50095, SEATTLE, WA 98109-4405
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60042125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243342
L&I
WA
Enumeration date
10/23/2006
Last updated
03/19/2021
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