IndividualActive
Kennedy Hagen
NPI 1194451641 · Physician Assistant · Bellingham, WA
Provider details
- NPI number
- 1194451641
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA61600671 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4455 Cordata Pkwy
Bellingham, WA 98226-8037
Phone: (360) 671-3225
Fax: (360) 671-0000
Street-level locationGet directions
Mailing address
Po Box 34703
Seattle, WA 98124-1703
Additional practice locations (1)
- 31405 18th Ave SFederal Way, WA 98003-5433Phone: (360) 671-3225Fax: (360) 671-0000
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.