Shae Kanakaole, PA-C
Physician Assistant, Surgical in Lakewood, WA. Individual provider (NPI-1).
NPI number1982110045
StatusActive
Last updated in NPPESMay 29, 2025
Details
- NPI
- 1982110045
- Entity type
- Individual (NPI-1)
- Name
- Shae Kanakaole
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2017
- Certification date
- May 29, 2025
- Last updated
- May 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA61634578 | WA | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – |
Practice location
7308 Bridgeport Way W Ste 201Lakewood, WA 98499-8000
Phone 253-582-7257 · Fax 253-582-1617
Mailing address
7308 Bridgeport Way W Ste 201Lakewood, WA 98499-8000
Phone 253-582-7257 · Fax 253-582-1617
Other practice locations
1724 W Union Ave Ste 100
Tacoma, WA 98405-2099
Tacoma, WA 98405-2099
Phone 253-830-5200 · Fax 253-752-1160
2727 Hollycroft St Ste 410
Gig Harbor, WA 98335-1369
Gig Harbor, WA 98335-1369
Phone 253-358-4002 · Fax 253-358-4015
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All 9 Surgical Physician Assistant providers in Lakewood · All 3,440 providers in Lakewood
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