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Katelyn Marie Spencer, PA-C

Physician Assistant in Silverdale, WA. Individual provider (NPI-1).

NPI number1164048922
StatusActive
Last updated in NPPESJun 17, 2020

Details

NPI
1164048922
Entity type
Individual (NPI-1)
Name
Katelyn Marie Spencer
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2020
Certification date
Jun 17, 2020
Last updated
Jun 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA.PA.61067606WAYes

Practice location

3100 Nw Bucklin Hill Rd Ste 202
Silverdale, WA 98383-8362

Phone 360-377-3776

Mailing address

203 Madrona Way Ne Unit 1
Bainbridge Island, WA 98110-1928

Phone 715-892-7107

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