Kim Jennifer Herzog, PAC

NPI #1467548685 in Everett, Washington

Provider Information

NPI Number: 1467548685
Entity Type: Individual
Name: Kim Jennifer Herzog, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 5, 2006
Last Updated: Feb 24, 2009

Practice Location

Address: 1001 N BROADWAY
Address 2: SUITE A-3
City: Everett
State: Washington
ZIP Code: 98201-1586
Phone: (425) 317-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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