Individual
MR. GUILLERMO VALES KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 CONTINENTAL PL, MOUNT VERNON, WA 98273
(360) 424-7041
(360) 424-2418
Mailing address
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274-6033
(360) 424-7041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA60912831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137460
—
WA
Enumeration date
05/28/2019
Last updated
06/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us