Individual
MRS. KERRY SEPTEMBER MADLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60191192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272234
LNI
WA
05
—
2010354
—
WA
Enumeration date
11/03/2010
Last updated
06/29/2022
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