Individual provider · Type 1 NPI

Kelsey Pearson, PA-C

Surgical Physician Assistant · Issaquah, WA

NPI number 1194122002 Active

Practice location

751 NE Blakely Dr, Ste 4020
Issaquah, WA 98029-6201

Call (425) 313-7124 Map

Fax (425) 313-7072

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0005626 (MD)
Surgical Physician Assistant Primary 363AS0400XPA60644257 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1194122002

Kelsey Pearson, PA-C's National Provider Identifier is 1194122002, issued on Nov 21, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Issaquah, WA. The record was last updated on Dec 8, 2016.