Kiel R Fredekind, PA-C
Physician Assistant, Medical in Spokane, WA. Individual provider (NPI-1).
NPI number1982254892
StatusActive
Last updated in NPPESNov 15, 2024
Details
- NPI
- 1982254892
- Entity type
- Individual (NPI-1)
- Name
- Kiel R Fredekind
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2019
- Certification date
- Nov 15, 2024
- Last updated
- Nov 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA61126675 | WA | Yes |
Practice location
601 W 5th Ave Ste 400Spokane, WA 99204-2715
Phone 509-344-2663
Mailing address
601 W 5th Ave Ste 400Spokane, WA 99204-2715
Phone 509-344-2663
Other practice locations
601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Spokane, WA 99204-2756
Phone 509-344-8672 · Fax 509-747-7838
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