Kerry A. Michaelis

Physician Assistant · Kettle Falls, WA

Individual Active NPI

NPI number 1932285715

Practice location

840 S Meyers St
Kettle Falls, WA 99141-7005
Phone
(509) 685-7848
Fax
(509) 684-5817

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NPI record

NPI
1932285715
Entity type
Individual (Type 1)
Enumeration date
October 27, 2006
Last updated
June 18, 2021
Certified
June 18, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA10004334 WA

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone
(866) 747-2455
Fax
(509) 944-9644

About Kerry Michaelis

Kerry A. Michaelis is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 840 S Meyers St, Kettle Falls, WA 99141-7005. The NPI number 1932285715 was assigned on October 27, 2006 and the record was last updated on June 18, 2021.

Kerry Michaelis lists a license in the registry: #PA10004334 (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 Kerry A. Michaelis?

The NPI number is 1932285715.

What is the phone number of Kerry Michaelis?

The phone number listed for the practice location is (509) 685-7848.

Where is Kerry Michaelis located?

840 S Meyers St, Kettle Falls, WA 99141-7005.

What is the taxonomy code for Kerry Michaelis?

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.

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