Kyle Shafer
Physician Assistant · Ilwaco, WA
Practice location
176 1st Ave NIlwaco, WA 98624-9137
- Phone
- (360) 642-3747
NPI record
- NPI
- 1376172775
- Entity type
- Individual (Type 1)
- Enumeration date
- April 7, 2020
- Last updated
- July 22, 2020
- Certified
- July 22, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
61076997 | WA |
Mailing address
35585 Bella Ridge LoopAstoria, OR 97103-6630
About Kyle Shafer
Kyle Shafer is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 176 1st Ave N, Ilwaco, WA 98624-9137. The NPI number 1376172775 was assigned on April 7, 2020 and the record was last updated on July 22, 2020.
Kyle Shafer lists a license in the registry: #61076997 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kyle Shafer?
The NPI number is 1376172775.
What is the phone number of Kyle Shafer?
The phone number listed for the practice location is (360) 642-3747.
Where is Kyle Shafer located?
176 1st Ave N, Ilwaco, WA 98624-9137.
What is the taxonomy code for Kyle Shafer?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Ilwaco
- Danielle Meyen174 1st Ave N
- Steven L. Bellinger, PA C176 1st Ave N