Individual
SOFYA KEFELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2800
Mailing address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003240
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8323594
—
WA
Enumeration date
02/02/2007
Last updated
05/26/2021
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