Provider Demographics
NPI:1184943995
Name:NOVEY, KRISTEN E (PA-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:E
Last Name:NOVEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 5TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-2212
Mailing Address - Country:US
Mailing Address - Phone:206-290-3957
Mailing Address - Fax:866-529-9739
Practice Address - Street 1:2810 5TH AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-2212
Practice Address - Country:US
Practice Address - Phone:206-290-3957
Practice Address - Fax:866-529-9739
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05682235Z00000X
WAPA60987901363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist