Mayhew, Kerry L

Mayhew, Kerry L is an individual health care provider with primary practice located at 1007 Koala Ave , Omak WA 98841-9247. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mayhew, Kerry L can be contacted via phone (509) 826-8443.

Contact Information

Primary practice address
1007 Koala Ave Omak WA 98841-9247
Phone: (509) 826-8443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10001928 Washington

Profile Details

NPI number 1235244096
LBN Legal business name Mayhew, Kerry L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 11th, 2007 - about 17 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 1235244096 NPPES
Washington Other 127522 L&I
Washington MEDICAID 1003797 L&I

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