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

Kent William Wallace, PA-C, ARNP

Individual provider Surgical Physician Assistant · NPI 1770662835

Kent William Wallace, PA-C, ARNP is a Surgical Physician Assistant in Everett, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

1321 Colby Ave Medical Staff Ofc (pmg)
Everett, WA 98201-1665
Phone: (425) 261-2000
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10000442 (WA)

Record details

NPI number1770662835
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ARNP
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 6, 2015

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