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

Kennedy Hagen

Individual provider Physician Assistant · NPI 1194451641

Kennedy Hagen is a Physician Assistant in Bellingham, Washington. Qualified in 2024, 2 years ago. Practices with Sea Mar Community Health Centers, a 236-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2022
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Practice location Address checks out

4455 Cordata Pkwy
Bellingham, WA 98226-8037
Phone: (360) 671-3225
Fax: (360) 671-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31405 18th Ave S, Federal Way, WA 98003-5433 — (360) 671-3225

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61600671 (WA)

Record details

NPI number1194451641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2022
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing addressPo Box 34703, Seattle, WA 98124-1703

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sea Mar Community Health Centers — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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