Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda D Petersen, PA-C

Individual provider Medical Physician Assistant · NPI 1528391372

Amanda D Petersen, PA-C is a Medical Physician Assistant in Kennewick, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4804 W Clearwater Ave Kadlec Clinic Urgent Care
Kennewick, WA 99336
Phone: (509) 942-2355
Fax: (509) 222-2355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60113833 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PENDING (WA)

Record details

NPI number1528391372
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2009
Last updated in NPPESJanuary 22, 2014

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