Provider Demographics
NPI:1265302384
Name:SEARS, KELSEA K
Entity type:Individual
Prefix:
First Name:KELSEA
Middle Name:K
Last Name:SEARS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 INTERLAKE AVE N UNIT 412
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7591
Mailing Address - Country:US
Mailing Address - Phone:904-687-3618
Mailing Address - Fax:
Practice Address - Street 1:4455 INTERLAKE AVE N UNIT 412
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7591
Practice Address - Country:US
Practice Address - Phone:904-687-3618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical