Individual provider · Type 1 NPI

Kennedy Hagen

Physician Assistant · Bellingham, WA

NPI number 1194451641 Active

Practice location

4455 Cordata Pkwy
Bellingham, WA 98226-8037

Fax (360) 671-0000

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice locations

  • 31405 18th Ave S, Federal Way, WA 98003-5433 · (360) 671-3225

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA61600671 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194451641

Kennedy Hagen's National Provider Identifier is 1194451641, issued on Jul 27, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bellingham, WA. The record was last updated on Oct 6, 2025.