Individual
KRISTEN HEESTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2320 W COMMODORE WAY UNIT 100, SEATTLE, WA 98199-1287
(206) 632-4575
Mailing address
PO BOX 82053, KENMORE, WA 98028-0053
(248) 303-0312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
09/17/2021
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