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NPI Code Detail

MEDICARE: KENDRA LIN JUDD PA-C

MEDICARE: KENDRA LIN JUDD PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA60770038WA
2363AM0700XMedical Physician AssistantPA60770038WA

General Provider Information

NPI Number : 1164769642
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA LIN JUDD PA-C
Provider Business Mailing Address
First Line : PO BOX 73488
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-0488
Country : US
Telephone Number : 855-722-9700
Fax Number :
Provider Business Practice Location Address
First Line : 2219 RIMLAND DR STE 301
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8759
Country : US
Telephone Number : 855-722-9700
Fax Number : 253-322-2910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2013
Last Update Date : 08/24/2023

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Directions to “ KENDRA LIN JUDD PA-C” Practice Location

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