Individual provider · Type 1 NPI

Guillermo Vales Kennedy, PA-C

Surgical Physician Assistant · Mount Vernon, WA

NPI number 1679130322 Active

Practice location

1500 Continental Pl
Mount Vernon, WA 98273

Call (360) 424-7041 Map

Fax (360) 424-2418

Mailing address

1401 S Laventure Rd
Mount Vernon, WA 98274-6033

Other practice locations

  • 1630 NE Valley Rd Apt D101, Pullman, WA 99163-4419 · (646) 573-5979
  • 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 · (360) 424-7041

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA60912831 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1679130322

Guillermo Vales Kennedy, PA-C's National Provider Identifier is 1679130322, issued on May 28, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mount Vernon, WA. The record was last updated on Jun 2, 2022.