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

Individual provider Physician Assistant · NPI 1508258310

Kyle D Mahaffey, PA-C is a Physician Assistant in Lakewood, Washington. Qualified in 2016, 10 years ago. Practices with South Sound Neurosurgery PLLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2015
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

11411 Bridgeport Way SW
Lakewood, WA 98499-3047
Phone: (253) 581-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5601 S Orchard St, Tacoma, WA 98409-1371 — (253) 474-8421

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60696945 (WA)

Record details

NPI number1508258310
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2015
Last updated in NPPESMay 10, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice South Sound Neurosurgery Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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