Individual provider · Type 1 NPI

Kevan J. Haack, PA-C

Surgical Physician Assistant · Seattle, WA

NPI number 1083061501 Active

Practice location

601 Broadway Fl 7
Seattle, WA 98122-5330

Fax (206) 622-1644

Other practice locations

  • 4455 148th Ave NE # B1, Bellevue, WA 98007-3120 · (206) 386-2600

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA60815264 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1083061501

Kevan J. Haack, PA-C's National Provider Identifier is 1083061501, issued on May 16, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Jul 26, 2024.