Individual provider · Type 1 NPI

Kenneth A. Haverland, PA-C

Surgical Physician Assistant · Seattle, WA

NPI number 1487842761 Active

Practice location

1959 NE Pacific St Ste AA115, Box # 356310
Seattle, WA 98195-0001

Call (206) 543-3093 Map

Fax (206) 543-0325

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA10005309 (WA)
Surgical Physician Assistant Primary 363AS0400XPA10005309 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1487842761

Kenneth A. Haverland, PA-C's National Provider Identifier is 1487842761, issued on Oct 11, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Jun 14, 2008.