Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN BARRY FITZGERALD, PA-C
ActiveMR. KEVIN BARRY FITZGERALD, PA-C is a Physician Assistant healthcare provider located in TIETON, Washington. NPI 1548565682 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TIETON, WA
Registration Details
- NPI Number
- 1548565682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2011 (15.541524727722 yrs)
- Last Updated
- Feb 27, 2020
- Licenses
-
2104 (AK)PA60427970 (WA)
Practice Information
- Address
-
915 WISCONSIN AVETIETON, WA, 989479802Browse WA providers · Browse ZIP 98947
- Phone
- 5096730044
- Fax
- 5096730054
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in TIETON, WA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER LAURA BROADT | PA | 1962869776 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.