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

Kim Jennifer Herzog, PAC

Individual provider Physician Assistant · NPI 1467548685

Kim Jennifer Herzog, PAC is a 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?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1001 N Broadway Ste A-3
Everett, WA 98201-1586
Phone: (425) 317-0300
Fax: (425) 317-0303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10004579 (WA)

Record details

NPI number1467548685
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESFebruary 24, 2009

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