Search › Washington › 363A00000X
Kellie Hergenrader
NPI 1447911540 · on the registry since 2022 · sole proprietor
Practice
- Address
- 915 Sheridan St
Port Townsend, WA 98368 - Phone
- (360) 385-4848
- Organisation at this address
- Jefferson County Public Hospital District No 2
Jefferson County Public Hospital District No 2Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 1086 Canal Dr, Gardnerville, NV
- 834 Sheridan St, Port Townsend, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
363AM0700X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-16
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