Individual provider · Type 1 NPI

Kylie Raeann Black, PA-C

Physician Assistant · Monroe, WA

NPI number 1780302828 Active

Practice location

17707 W Main St Fl 1
Monroe, WA 98272-1967

Call (360) 282-3885 Map

Fax (360) 512-2026

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA61482872 (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…

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About NPI 1780302828

Kylie Raeann Black, PA-C's National Provider Identifier is 1780302828, issued on Aug 15, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Monroe, WA. The record was last updated on Sep 4, 2024.