PRIM KY, PA-C
Physician Assistant
Active
Individual
NPI: 1487157020
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA60763223 (WA) |
Frequently Asked Questions
NPI 1487157020 is the National Provider Identifier for PRIM KY, PA-C, a Physician Assistant provider located in Lacey, WA. This NPI was enumerated on March 9, 2018.
PRIM KY, PA-C practices at 1350 MARVIN RD NE STE D, Lacey, WA 98516.
Quick Facts
- NPI
- 1487157020
- Type
- Individual
- Enumerated
- Mar 9, 2018
- Last Updated
- Aug 26, 2024
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