Individual provider · Type 1 NPI

Samuel Dylan Gillespie, PA

Physician Assistant · Kent, WA

NPI number 1215810064 Active

Practice location

17700 SE 272nd St Ste 105
Kent, WA 98042-4951

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1227641

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 1215810064

Samuel Dylan Gillespie, PA's National Provider Identifier is 1215810064, issued on Jul 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kent, WA. The record was last updated on Jan 30, 2026.