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Contact Information

KELSEY E PRUITT, PA-C
9631 N NEVADA ST STE 202
SPOKANE, WA99218
 Phone: 509-467-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELSEY E PRUITT · (Female)

NPI Number 1184191629
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/01/2018
Last updated 09/16/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WA License # PA60932420
Hospital affiliation(s)
  • PROVIDENCE SACRED HEART MEDICAL CENTER - (Acute Care)
    101 WEST 8TH AVENUE
    SPOKANE, WA 99204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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