Individual
ELIZABETH KVOCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12040 NE 128TH ST # 33, KIRKLAND, WA 98034
(425) 899-1711
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60702543
WA
363AM0700X
Medical Physician Assistant
C05451
MD
Other
Enumeration date
07/23/2014
Last updated
08/08/2018
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