Individual
SUSAN C. KEARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2800
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8357485
—
WA
01
—
P00731065
MEDICARE RAILROAD
WA
Enumeration date
01/16/2007
Last updated
09/10/2009
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