BRENT PATRICK KISH

SILVERDALE, WA
NPI1417998055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004056)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: WA  PA10004056)
363AS0400X Physician Assistant, Surgical
(Licence: WA  PA10004056)
Enumeration Date2006-06-08
Last Update Date2023-03-07
Business Address
BRENT PATRICK KISH PA-C
2200 NW MYHRE RD
SILVERDALE, WA 98383-7681
Phone number: 360-830-1301
Mailing Address
BRENT PATRICK KISH PA-C
9621 RIDGETOP BLVD NW
SILVERDALE, WA 98383-8502
Phone number: 360-830-1301