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Search › Washington › 363AS0400X

Kent Wallace, PA-C, ARNP

NPI 1770662835 · on the registry since 2006

Practice

Address
1321 Colby Ave
Medical Staff Office (Pmg)
Everett, WA 98201
Phone
(425) 261-2000
Organisation at this address
Credena Health Llc
Cellnetix Labs Llc
Cellnetix Pathology, Pllc
Providence Health & Services-Wa
Providence Health & Services-Wa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
313

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-06

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