Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Guillermo Vales Kennedy, PA-C

Surgical Physician Assistant in Mount Vernon, WA · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679130322

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Registry record

Entity type Individual (Type 1)

Name Mr. Guillermo Vales Kennedy

Credential PA-C

Sex Male

Practice address 1500 Continental Pl, Mount Vernon, WA, 98273

Phone (360) 424-7041

Fax (360) 424-2418

Enumeration date May 28, 2019

Last updated in NPPES Jun 2, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60912831 (WA) Primary

Other identifiers

Identifier	Type	State	Issuer
2137460	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Guillermo Vales Kennedy's NPI record?

Cross-check NPI 1679130322 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1679130322 active?

Yes, as of the latest NPPES snapshot, NPI 1679130322 is active (record last updated 2022-06-02).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-02.