Individual
SUSAN ANNE KAISAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1212 HARRISON AVE NW, OLYMPIA, WA 98502-5466
(360) 754-6700
Mailing address
8500 MAIN ST UNIT F211, EDMONDS, WA 98026-6954
(425) 770-4775
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003830
WA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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