Provider Demographics
NPI:1386312189
Name:POLLARD, KYLIE NOEL (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:NOEL
Last Name:POLLARD
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:4700 POINT FOSDICK DR STE 307
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1706
Mailing Address - Country:US
Mailing Address - Phone:253-857-8346
Mailing Address - Fax:253-857-0259
Practice Address - Street 1:4700 POINT FOSDICK DR STE 307
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1706
Practice Address - Country:US
Practice Address - Phone:253-857-8346
Practice Address - Fax:253-857-0259
Is Sole Proprietor?:No
Enumeration Date:2021-09-06
Last Update Date:2024-11-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant