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KELLIE HERGENRADER

Physician Assistant

NPI: 1447911540IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA61479777(WA)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2023

Contact & Hours

Via practice · 3 locations total

Address
1086 Canal Dr
Gardnerville, NV 89410

Locations (3)

Practice Location

1086 Canal Dr, Gardnerville, NV
(775) 781-8300

Practice Location

915 SHERIDAN ST, PORT TOWNSEND, WA
(360) 385-4848

Practice Location

834 SHERIDAN ST, PORT TOWNSEND, WA
(360) 385-2200

Quick Facts

NPI
1447911540
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
3
Years in Practice
3

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