Individual provider · Type 1 NPI

Katelyn Rae Genova, PA-C

Surgical Physician Assistant · Puyallup, WA

NPI number 1083206973 Active

Practice location

3801 5th St SE Ste 110
Puyallup, WA 98374-2106

Call (253) 845-9585 Map

Fax (253) 848-1126

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA61579562 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1083206973

Katelyn Rae Genova, PA-C's National Provider Identifier is 1083206973, issued on Feb 11, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Puyallup, WA. The record was last updated on Oct 31, 2025.