Kandora, Jill Rose

Kandora, Jill Rose is an individual health care provider with primary practice located at 20120 Ballinger Way Ne Ste A-01 , Shoreline WA 98155-1117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kandora, Jill Rose can be contacted via phone (206) 365-9000.

Contact Information

Primary practice address
20120 Ballinger Way Ne Ste A-01 Shoreline WA 98155-1117
Phone: (206) 365-9000
Fax: (206) 365-9001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 60513573 Washington

Profile Details

NPI number 1467859827
LBN Legal business name Kandora, Jill Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2014
Last updated Dec 1st, 2014 - about 12 years ago

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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