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

Individual provider Physician Assistant · NPI 1487842761

Kenneth A Haverland, PA-C is a Physician Assistant in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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

1959 NE Pacific St Ste AA115 Box # 356310
Seattle, WA 98195-0001
Phone: (206) 543-3093
Fax: (206) 543-0325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10005309 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA10005309 (WA)

Record details

NPI number1487842761
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESJune 14, 2008

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