Hergenrader, Kellie Christine
Hergenrader, Kellie Christine is an sole proprietor health care provider with primary practice located at 915 Sheridan St , Port Townsend WA 98368-2931. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hergenrader, Kellie Christine can be contacted via phone (360) 385-4848.Contact Information
Primary practice address
915 Sheridan St
Port Townsend WA 98368-2931
Phone: (360) 385-4848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61479777 | Washington |
Profile Details
| NPI number | 1447911540 |
|---|---|
| LBN Legal business name | Hergenrader, Kellie Christine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2022 |
| Last updated | Apr 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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