Kellie Christine Hergenrader
NPI #1447911540 in Port Townsend, Washington
Provider Information
- NPI Number
- 1447911540
- Entity Type
- Individual
- Name
- Kellie Christine Hergenrader
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 1, 2022
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 915 SHERIDAN ST
- City
- Port Townsend
- State
- Washington
- ZIP Code
- 98368-2931
- Phone
- (360) 385-4848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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