SearchWashingtonSurgical Physician Assistant

Kenneth Haverland, PA-C

NPI 1487842761 · on the registry since 2007

Practice

Address
1959 Ne Pacific St Ste Aa115
Box # 356310
Seattle, WA 98195
Phone
(206) 543-3093
Fax
(206) 543-0325
Organisation at this address
Goodnight Anesthesia
Uw School Of Dentistry
University Of Washington
University Of Washington
University Of Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4,019

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Physician Assistant
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington