Individual
CLAIRE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
(360) 307-7304
Mailing address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
(360) 307-7304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60939801
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467949495
—
WA
Enumeration date
04/16/2018
Last updated
04/22/2021
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