Individual
KAITLYN ELIZABETH HARTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6367
(065) 205-0002
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61341211
WA
Other
Enumeration date
05/02/2014
Last updated
12/13/2022
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