Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLIE RAEANN BLACK, PA-C
ActiveKYLIE RAEANN BLACK, PA-C is a Physician Assistant healthcare provider located in MONROE, Washington. NPI 1780302828 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MONROE, WA
Registration Details
- NPI Number
- 1780302828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2022 (4.0099923574668 yrs)
- Last Updated
- Sep 4, 2024
- License
-
PA61482872 (WA)
Practice Information
- Address
-
17707 W MAIN ST FL 1MONROE, WA, 982721967Browse WA providers · Browse ZIP 98272
- Phone
- 3602823885
- Fax
- 3605122026
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MONROE, WA
| Name | Credential | NPI |
|---|---|---|
| A CHANCELLOR PELL | PA-C | 1013968254 |
| DENNIS L. NAGY JR. | PA-C | 1821199134 |
| CHELSEY A STOWE | PA-C | 1437453669 |
| MISS KRISTIN DIANE FRAZER | PA | 1902181761 |
| ALEXANDER ROBINWEILER | P.A. | 1336574607 |
| SHELBY LIDSTROM | — | 1154722155 |
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.