Individual
MICHELLE L KAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
751 NE BLAKELY DR STE 4020, ISSAQUAH, WA 98029-6201
(425) 313-7124
(425) 313-7072
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61259346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2209218
—
WA
Enumeration date
07/31/2021
Last updated
07/25/2022
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