Search › Washington › 101YA0400X
Paul Kern, CDAC
NPI 1174972947 · on the registry since 2016 · sole proprietor
Practice
- Address
- 305 Pacific Ave S Ste 102
Kelso, WA 98626 - Phone
- (360) 577-7442
- Fax
- (360) 577-7904
- Organisation at this address
- Wchs Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 58
Additional practice sites
- 27777 Inkster Rd Ste 100, Farmington Hills, MI
- 14255 Sw Brigadoon Ct, Beaverton, OR
- 720 14th Ave, Longview, WA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 106S00000X
171M00000X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington