Individual provider · Type 1 NPI

Courtney Leah Kassow, PA-C

Surgical Physician Assistant · Tacoma, WA

NPI number 1669515623 Active

Practice location

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265

Fax (253) 596-3301

Other practice locations

  • 901 W 38th St, Suite 301, Austin, TX 78705-1163 · (512) 225-6335
  • 6550 Fannin St Ste 2435, Houston, TX 77030 · (713) 790-3140

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA06311 (TX)
Surgical Physician Assistant 363AS0400X2053 (MA)
Surgical Physician Assistant Primary 363AS0400XPA60874684 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1669515623

Courtney Leah Kassow, PA-C's National Provider Identifier is 1669515623, issued on Feb 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tacoma, WA. The record was last updated on Apr 22, 2021.