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

Kelby Iris Pierce

Individual provider Medical Physician Assistant · NPI 1982493938

Kelby Iris Pierce is a Physician Assistant in Edmonds, Washington. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025

Practice location Address checks out

21601 76th Ave W
Edmonds, WA 98026-7507
Phone: (425) 640-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.70009490 (WA)

Record details

NPI number1982493938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address21601 76th Ave W, Edmonds, WA 98026-7507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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