Individual
KELLY CHARLES GERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1717 13TH ST STE 401, EVERETT, WA 98201-1621
(425) 297-6400
Mailing address
PO BOX 31001 4114, PASADENA, CA 91110-4114
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61640108
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/19/2017
Last updated
06/19/2025
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