Individual
SARAH KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
531 BROADWAY E STE 10, SEATTLE, WA 98102-5023
(503) 684-8252
Mailing address
805 MADISON ST STE 401, SEATTLE, WA 98104-1172
(206) 467-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MA061117
PA
207Q00000X
Family Medicine Physician
PA61090865
WA
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
PA61090865
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
01/02/2019
Last updated
12/09/2022
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