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Individual

MS. KRISTEN JAN KAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
(360) 454-1991
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1900
(360) 454-1991

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2529 - 023
WI
363A00000X
Physician Assistant
4367
AZ
363A00000X
Physician Assistant
PA60677484
WA
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-86814
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265673891
WI
Enumeration date
03/11/2009
Last updated
12/14/2021
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