Individual provider · Type 1 NPI

Kellie Christine Hergenrader

Physician Assistant · Port Townsend, WA

NPI number 1447911540 Active

Practice location

915 Sheridan St
Port Townsend, WA 98368-2931

Mailing address

834 Sheridan St
Port Townsend, WA 98368-2443

Other practice locations

  • 1086 Canal Dr, Gardnerville, NV 89410-6117 · (775) 781-8300
  • 834 Sheridan St, Port Townsend, WA 98368-2443 · (360) 385-2200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XPA61479777 (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…

29 other providers at this address

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About NPI 1447911540

Kellie Christine Hergenrader's National Provider Identifier is 1447911540, issued on Jan 1, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Townsend, WA. The record was last updated on Apr 16, 2024.