Kathryn Supko, PA-C
Physician Assistant, Medical in Bremerton, WA. Individual provider (NPI-1).
NPI number1710683099
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1710683099
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Supko
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2023
- Certification date
- Aug 14, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
400 Warren Ave Ste 200Bremerton, WA 98337-1467
Phone 360-377-3776
Mailing address
400 Warren Ave Ste 200Bremerton, WA 98337-1467
Phone 360-377-3776
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All 25 Medical Physician Assistant providers in Bremerton · All 3,530 providers in Bremerton
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