Individual provider · Type 1 NPI

Tracy Leeann Keniston, PA-C

Surgical Physician Assistant · Yakima, WA

NPI number 1457549545 Active

Practice location

111 S 11th Ave Ste 320
Yakima, WA 98902-3273

Call (509) 454-8888 Map

Fax (509) 453-0061

Mailing address

PO Box 2309
Yakima, WA 98907-2309

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10005307 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1457549545

Tracy Leeann Keniston, PA-C's National Provider Identifier is 1457549545, issued on Oct 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Yakima, WA. The record was last updated on Jan 26, 2023.