Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Koseck, PA-C

Individual provider Physician Assistant · NPI 1598342214

Ellen Koseck, PA-C is a Physician Assistant in Pearl Harbor, Hawaii. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021
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

480 Central Ave
Pearl Harbor, HI 96860-4908
Phone: (808) 257-3365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12353304-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 12353304-8906 (UT)

Record details

NPI number1598342214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2021
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

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