Individual
KELSEY RUNFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(425) 216-0550
Mailing address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(425) 216-0550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA57861
CA
363A00000X
Physician Assistant
Primary
PA61096451
WA
Other
Enumeration date
09/13/2020
Last updated
07/20/2021
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