Individual provider · NPI-1

Sabrina Arnott Keckalo, PA-C

Physician Assistant, Medical · Medical Lake, WA

NPI number1316299381
StatusActive
Last updated in NPPESOct 15, 2012

Details

NPI
1316299381
Entity type
Individual (NPI-1)
Name
Sabrina Arnott Keckalo
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2012
Last updated
Oct 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA60311571WAYes

Practice location

800 West Maple Street
Medical Lake, WA 99022-0800

Phone 509-565-4000

Mailing address

Po Box 800
Medical Lake, WA 99022-0800

Phone 509-565-4000

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