Individual
KYLANNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4420 76TH ST NE, MARYSVILLE, WA 98270-3726
(360) 651-7491
(360) 651-7481
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 651-7491
(360) 651-7481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3801
CT
363A00000X
Physician Assistant
Primary
PA61012220
WA
Other
Enumeration date
03/28/2017
Last updated
01/08/2020
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