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

Mr. Guillermo Vales Kennedy, PA-C

Individual provider Physician Assistant · NPI 1679130322

Mr. Guillermo Vales Kennedy, PA-C is a Physician Assistant in Mount Vernon, Washington. Qualified in 2018, 8 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2019
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

1500 Continental Pl
Mount Vernon, WA 98273
Phone: (360) 424-7041
Fax: (360) 424-2418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 — (360) 424-7041
  • 1630 Ne Valley Rd Apt D101, Pullman, WA 99163-4419 — (646) 573-5979

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60912831 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679130322
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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