Kish, Brent Patrick

Kish, Brent Patrick is an individual health care provider with primary practice located at 2200 Nw Myhre Rd , Silverdale WA 98383-7681. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kish, Brent Patrick can be contacted via phone (360) 830-1301.

Contact Information

Primary practice address
2200 Nw Myhre Rd Silverdale WA 98383-7681
Phone: (360) 830-1301
Fax: (360) 830-1385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004056 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004056 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004056 Washington

Profile Details

NPI number 1417998055
LBN Legal business name Kish, Brent Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417998055 NPPES
Washington MEDICAID 8398877
Washington Other 8920KI
Washington Other P00235352
Washington Other 186889

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