Vader, Kira Susan

Vader, Kira Susan is an individual health care provider with primary practice located at 4320 196Th St Sw , Lynnwood WA 98036-6773. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vader, Kira Susan can be contacted via phone (425) 774-8758.

Contact Information

Primary practice address
4320 196Th St Sw Lynnwood WA 98036-6773
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004636 Washington

Profile Details

NPI number 1689775876
LBN Legal business name Vader, Kira Susan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 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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