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Kylie Raeann Black, PA-C

Physician Assistant in Monroe, WA · enumerated 2022 · practices at Sea Mar Community Health Centers.

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

National Provider Identifier

1780302828

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Registry record

Entity type Individual (Type 1)
Name Kylie Raeann Black
Credential PA-C
Sex Female
Practice address 17707 W Main St Fl 1, Monroe, WA, 98272
Phone (360) 282-3885
Fax (360) 512-2026
Enumeration date Aug 15, 2022
Last updated in NPPES Sep 4, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA61482872 (WA) Primary

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.

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Frequently asked questions

What is the NPI number for Kylie Black?
The National Provider Identifier (NPI) for Kylie Black is 1780302828, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kylie Black practice?
The practice location on file with NPPES is in Monroe, WA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-04.