Individual
SARAH JEAN KASNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
321 RAMSAY WAY STE 104, KENT, WA 98032-4544
(253) 372-7960
(253) 372-7965
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04732
NC
363A00000X
Physician Assistant
PA180488
OR
363A00000X
Physician Assistant
Primary
PA61068955
WA
Other
Enumeration date
02/05/2014
Last updated
08/09/2023
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