Individual
ZACHARY A KILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
801 SW 16TH ST STE 121, RENTON, WA 98057-2628
(206) 538-6300
(206) 538-6301
Mailing address
801 SW 16TH ST STE 121, RENTON, WA 98057-2628
(206) 538-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA06828
TX
363A00000X
Physician Assistant
Primary
PA60859694
WA
363AM0700X
Medical Physician Assistant
853
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112954
—
WA
05
—
219048002
—
TX
01
—
264087748
STATE OF ALASKA
AK
Enumeration date
12/20/2006
Last updated
02/15/2023
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