Individual
AUSTIN KEITA HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1179439
AK
Other
Enumeration date
08/17/2021
Last updated
10/07/2021
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