Individual
MR. KENNETH WILLIAM SHEIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1304 FAWCETT AVE, SUITE 200, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
1304 FAWCETT AVE, SUITE 200, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60188682
WA
Other
Enumeration date
10/05/2010
Last updated
05/05/2021
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