Kerry A Michaelis
Kerry A Michaelis is a Physician Assistant in Kettle Falls, Washington. Graduated from Baylor College of Medicine in 1995, 31 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 31
- Trained at
- Baylor College of Medicine
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
840 S Meyers StKettle Falls, WA 99141-7005
Phone: (509) 685-7848
Fax: (509) 684-5817
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA10004334 (WA) |
|---|
Record details
| NPI number | 1932285715 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 27, 2006 |
| Last updated in NPPES | June 18, 2021 |
| Certification date | June 18, 2021 |
| Mailing address | Po Box 421, Liberty Lake, WA 99019-0421 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | BAYLOR COLLEGE OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Group practice | Providence Health And Services Washington — 776 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Kettle Falls
-
Mr. Donald L Jackson, PAC
840 S Meyers St, Kettle Falls, WA 99141 · (509) 738-6607
-
Steven Tingey
840 S Meyers St, Kettle Falls, WA 99141-7005 · (509) 685-7848