Kathryn A. Dean, MD
Lacey, WA 98516
Providence Hawks Prairie Family Medicine
2555 Marvin Road Northeast, Lacey, WA 98516
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- Coventry/First Health PPO
- United HealthCare PPO
- Choice /Humana PPO
- WellCare
- United Healthcare Medicare Advantage
- Regence Triwest
- Regence BlueShield of Washington
- Providence Health Plan
- Kaiser Foundation
- InterWest Health
- Humana Medicare Advantage
- HealthSmart (Interplan) PPO
- Health Net - TriCare
- Coordinated care (WA Apple Health)
- Beacon Health Options
- Amerigroup Medicaid (WA Apple Health)
- Amerigroup - Medicare Advantage
- First Choice PPO
- Community Health Plan of Washington (WA Apple Health)
- Multiplan PPO
- Cigna PPO
- Premera PPO
- Aetna PPO
- Molina (WA Apple Health)
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About Kathryn A. Dean
There are many important factors that contribute to a person's overall health,including individual life circumstances, prevention, and available evidence-based treatments. I believe in workingtogether with patients to examine these factors and determine a path to better health. The establishment of aphysician-patient relationship built on a foundation of trust, understanding, and continuity makes this possible.
Oregon Health & Sciences University, Portland, Oregon
- American Board of Family Medicine, Family Medicine
Providence Medical Group – South Puget Sound (Olympia)
I enjoy spending time with family and friends, going for day hikes, and reading. Health care policy and reform are of particular interest to me.
Community Reviews
At Providence, we're dedicated to providing you quality, personalized health care. We are constantly striving to optimize your experience.
As part of ensuring you have a positive experience with Providence, our online provider directory includes ratings and patient comments for select providers. More about our survey.
Dr Deanwas efficient, proficient and continued working on my issues through diagnostic tests until we had answer to my problems.
Providence Patient
Katie is always the consummate health care professional and I would highly recommend her to anyone who's interested in a knowledgeable and kind primary care person
Providence Patient
I would highly recommend most doctors at this office.
Providence Patient
Dr Dean is always very caring and knowledgable about my health issues.She and her assistants are always courteous, friendly, and efficient.
Providence Patient
Very hard to schedule.Love Dr. Dean. She's an amazing provider.
Providence Patient
Love dr dean her and her team always get back to me fast
Providence Patient
The medical team is always so respectful and Dr. Dean answers all my questions. I am so happy I've found a caring Doctor and a friendly medical team.
Providence Patient
She is always helpful and I keep her informed of other issues via mychart
Providence Patient
This was a great visit and I am grateful for the care I received.
Providence Patient
The provider was excellent and went through everything I needed to hear. It was a good experience
Providence Patient
We love Dr. Dean! She is ALWAYS cordial, listens to our concerns, and offers good counsel on the options for treatment available to us. She always goes the extra mile to be sure all our questions and concerns are addressed. Our daughter had hoped to get established with her, but she is always booked out and I believe has not had new-patient visits available for some time. That also can attest to the fact she is so good at caring for her patients.
Providence Patient
Everything was fine. I get good care with Dr. Dean and at Providence medical centers.
Providence Patient
Dr.Dean has always been able to help me in my medical problems. She is an excellent doctor.
Providence Patient
Dr. Dean is the best doctor I've had as an adult! She listens, asks questions, and actively gives me the best care possible, or refers me to someone who can. Grateful
Providence Patient
Doctor explained about my abnormal labs and answered my questions
Providence Patient
I feel that Dr. Dean looks out for my best interest.
Providence Patient
Dr. Dean represents the epitome of what a "good bedside manner Is"! She Is always friendly and professional, takes time to listen to my concerns and responds thoughtfully making sure I understand. She's patient with her patient.
Providence Patient
They met all of my expectations
Providence Patient
Dr. Dean was very thorough in addressing all of my concerns. Even though I waited for about an hour to see her when it was my turn she didn't make me feel like I was rushed and she addressed all of my concerns. I really appreciate the fact the she wanted to have a follow-up appointment with me in a few weeks and she scheduled the appointment herself. I feel very heard and I really appreciate her. She also quickly made referrals to other clinics that I needed. She's a very good doctor.
Providence Patient
Very good care
Providence Patient
Dr Dean has been extremely helpful in this and other appointments.
Providence Patient
I made this appointment because I was worried about a health condition. Dr. Dean listened and ordered laboratory tests for my health condition. I was afraid that the provider would think I was just a worried patient. Instead, I felt very listened to and heard at this visit.
Providence Patient
There are only good experiences
Providence Patient
She's the best! Always a huge thank you to Dr Dean for her outstanding, compassionate and personalized care. I hit the jackpot when I got her as my PCP!
Providence Patient
Dr. Dean listened to what I was saying about my symptoms and understood me. Even though Dr. Dean is extremely intelligent, she wanted to learn more about my condition and steered me in a direction that has helped me immensely. Hawks Prairie Family Medicine has been there for my family in all matters of our lives. Dr Dean is not my primary physician, but she treated me with such respect and care that you wouldn't have known it was the first time we had met.
Providence Patient
A wonderful doctor! The best I have ever had.
Providence Patient
Everything went as expected and it was the first time I saw this Doctor. I am very satisfied with her.
Providence Patient
Everyone has been helpful, caring and listened to me.
Providence Patient
Always courteous and friendly
Providence Patient
Dr Dean. Is the best doctor I have ever had
Providence Patient
I felt Dr Dean listened carefully to my health concern, and ordered what seemed to be the logical next steps in my care.
Providence Patient
Dr. Dean is always so attentive when I take my dad to see her. He only trust her with his medical issues and is very hesitant to see a different provider.
Providence Patient
I believe that Dr. Dean and I have established a good rapport and I think she is a good doctor.
Providence Patient
I am always Happy with the Care I receive!!! Everyone is Wonderful!
Providence Patient
Dr. Dean is very professional. She listens well and explains well. I feel very confident that she will help me with good advise and medical care as I age. I'm 70.
Providence Patient
Excellent MD and RN
Providence Patient
Dr. Dean is always personable--friendly, very caring, and takes time to talk through issues and concerns and provide appropriate care options. She seems very knowledgeable and doesn't hesitate to look at various treatment options when appropriate. We couldn't be more pleased that we were able to become a part of her practice.
Providence Patient
Always a good experience with Dr. DEAN when I can get into see her. Most availability is thru the ARNP's tho and those visits are not as good as they dont know much about the patients they see beings they cover for several doctors. I think the morning before the appts sitting down and refreshing themselves with the patients files ( ARNP's ) would make a big difference. As for Doctor Dean she is always pleasant, listens well and takes time to respond to all questions and makes eye contact and acknowledges you and its never a rush rush appt.
Providence Patient
I feel like I'm listened to when I come in for an appointment. That's important to me.
Providence Patient
Dr Dean is excellent. I have medical issues but she is helping to keep me as healthy as possible.Thanks
Providence Patient
Dr.Dean and the health care team always treats me with caring respect.
Providence Patient
I am very satisfied with the care I am receiving.
Providence Patient
Very kind and she takes her time with youShe listens to your issue and explains the treatment plan.
Providence Patient
Dr. Dean has always been wonderful since my first appointment seven years ago. She and her team are caring and thorough. I have moved three hours away from her office and I still prefer to see Dr. Dean versus anybody else. You are lucky to have such a compassionate doctor working with you.
Providence Patient
We are excited to start this journey with Dr. Dean as our new provider. Our children have their appointments next, and as a mother, I feel very comfortable and confident the entire family is in good hands!
Providence Patient
I can't say enough good things about her. She always puts me at ease and gives me the information I need. I am so happy to have her in my corner.
Providence Patient
Good: very kind, listens well, knowledgeable, had checked to see if there were any specialist visits recently, and asked me if there actually had been none recently. Has refilled prescription requests inbetween visits on a reasonably timely basis.
Providence Patient
Excellent doctor and staff!
Providence Patient
Dr. Dean provided excellent care and listen and answered all my questions.
Providence Patient
I'm grateful for Dr Dean! She is a great doctor who always listens and is very easy to talk to.
Providence Patient
Doc is great, video call instructions need to be updated and automated messaging updates for sending messages.
Providence Patient
Dr Dean is very pleasant, kind, respectful, professional, knowledgeable & I have appreciated her since she became my doctor.
Providence Patient
Dr. Dean is fantastic. I always feel comfortable talking with her about my medical concerns.
Providence Patient
Dr. Dean explains all my health issues and we talk about them on each visit.
Providence Patient
Dr. Dean was a pleasure. She listens and is attentive.
Providence Patient
Dr Dean is always great. Very nice and clear when answering my questions. Takes time to make sure I have all the answers I need, even though I know she is over booked.
Providence Patient
Dr. Dean is amazing. We are trying to get my husband transferred to her.
Providence Patient
She is very kind and knowlegable. I appreciate her.
Providence Patient
I feel very fortunate that Dr. Dean is my primary provider
Providence Patient
Dr Dean is amazing! Always takes time with me, listens and is thorough. She is smart, easy to talk to and is personable. She's the best!
Providence Patient
I love Dr Dean, but she's so busy and like others overloaded with patients. Three months to get an in person appointment, one month for a virtual. Hopefully things will get better.
Providence Patient
Dr. Dean seemed to take my questions seriously, and she went to extra effort to help me find answers to questions she could not answer (those that were out of her area of expertise). I really appreciated that she was comfortable in saying that she did not know the answers to my questions and that she directed me to someone who might be able to help me further. Her actions made me trust her even more.
Providence Patient
Dr Dean was very easy to talk with.
Providence Patient
Dr. Dean is an excellent physician.
Providence Patient
Dr. Dean is an excellent Dr. Very thorough and understanding of all my health issues.
Providence Patient
Always a good experience. She listens to me and answers my questions. Is not in a hurry; spends time with me.
Providence Patient
Care was very good. Ease of scheduling website is fine. However I scheduled this appointment 4 months ago and it was the earliest I could see Dr Dean for a wellness appointment according to availability.
Providence Patient
My provider is excellent but it was hard to get an appointment quickly because she is booked out pretty far.
Providence Patient
Dr Dean is exceptional in listening and communicating. She is an excellent dr. I haven't had a good experience with internal medicine dept, but I feel relaxed and able to discuss my health issues with Dr Dean. She has an excellent demeanor towards patients.
Providence Patient
Dr Dean is wonderful. She explains things simply and completely. She is compassionate while responding to fears and concerns. I am extremely pleased with the care I have received. The only drawbacks I have experienced is there Is generally a wait of several months to schedule a routine annual physical and although I am shown to a room on time, I generally don't see the doctor until 20-30 mins after the appt time
Providence Patient
Dr Dean is the best. She always puts my kids needs first and helps us if we need referrals or anything asap.
Providence Patient
Kathryn Dean is the best, just impossible to see for immediate care so use that service at HP
Providence Patient
Dr Dean is always helpful and gives great advise as to my issues
Providence Patient
She is an excellent listener, and took the time to ask questions about my condition. I was very surprised at Immediate referral to different providers to make sure that everything was OK. Her manner was calm and very informative. I wish she could be my provider.
Providence Patient
Dr. Dean is excellent! Unfortunately she is not always available if a health care issue arises. Usually, when a health issue arises and care needs are immediate, Dr Dean is not available and another physician is assigned. Have generally been happy with that care however.
Providence Patient
Care was excellent
Providence Patient
I really like Kathrynshe's very easy to talk toVery friendly&I am soo glad I was transferred to her
Providence Patient
Dr. Dean was very thorough, knowledgeable and concerned. With a telemedicine she was able to evaluate my condition and provide the Rx needed very quickly. There was a bit of a struggle actually getting the appointment with her at first but it all worked out.
Providence Patient
Have no comment normally my experience is pretty good.
Providence Patient
Compassionate, knowledgable
Providence Patient
Excellent care; Dr. Dean is great, very caring and helpful. Follows up on issues quickly.
Providence Patient
My entire family loves Dr Dean
Providence Patient
Good
Providence Patient
Good
Providence Patient
Dr. Dean is possibly the best PCP in our experience.
Providence Patient
Very nice & good people
Providence Patient
She spent the time with me to go over all I needed
Providence Patient
Attentive, knowledgeable, thorough, friendly, professional, basically all the attributes one would hope for in a primary care physician. Everything at the highest standard.
Providence Patient
Dr. Dean is the best doctor I've had in decades. I never feel like the appointment is rushed. She takes the time to answer all of my questions that is easy to understand, and willing to refer to other specialist when needed. Dr. Dean is the very best!
Providence Patient
Dr. Dean is a fantastic healthcare provider. She listens to my concerns and answers any questions.
Providence Patient
I appreciated time spent with Dr Dean. She listened to my concerns and we discussed them thoroughly and offered alternatives.
Providence Patient
Excellent knowledge and insight! I very much appreciate she had reviewed my history before entering the room.
Providence Patient
It's wonderful to have doctor, lab and radiology depth as a one stop for prompt medical care. Unfortunately, 15 minute intervals for scheduling patient visits are unrealistic. My physician goes the extra mile and extends her 15 minute visit in providing patient care and how best to proceed with diagnosis/treatment. Inaddition, prompt responses to test results and plan of action.
Providence Patient
All good, no bad
Providence Patient
Very friendly and knowledgeable
Providence Patient
Dr. Dean is knowledgeable and professional and shows understanding of current health concerns the patient may be dealing with.
Providence Patient
All good.
Providence Patient
Very personable explains things well responds through my chart e-mails
Providence Patient
Dr. Dean has been extremely helpful and efficient whenever I have seen her.
Providence Patient
My care provider is a wonderful human being. She listened to me and got me immediate care. She made me feel safe and cared about.
Providence Patient
Dr Dean is an extremely kind person. She is pleasant & professional. I really appreciate having her as my physician.
Providence Patient
Dr. Dean took the time to hear me out and was compassionate and understood my situation. She did her best to resolve and get to the bottom of my issues and get the relevant tests as soon as possible. Dr. Dean is an amazing Doctor that made me feel that my medical issues were important to her. Im grateful for her
Providence Patient
Everyone on the team was nice and as usual, I'm very comfortable with Dr. Dean.
Providence Patient
Dr Dean is the best Dr I have ever had. She is great.
Providence Patient
Dr Dean cares and listens and puts us at ease.
Providence Patient
Dr. Dean is a conscientious and caring physician. I always feel comfortable discussing any medical concerns with her. I feel fortunate to have her as my physician.
Providence Patient
The provider was very kind and informative. She was empathetic when I told her about my health related anxiety and she took the time to talk through my concerns as well as next steps.
Providence Patient
Clinical Interests
- Abdominal Cramps
- Abdominal Pain
- Abnormal Bowel Movement
- Abnormal Stool
- Abnormal Weight Loss
- Abrasion
- Acne
- Actinic Cheilitis
- Acute Arthritis
- Acute Back Pain
- Aging
- Alcohol Dependency
- Allergic Conjunctivitis
- Allergic Contact Dermatitis
- Allergic Reaction
- Allergic Rhinitis
- Allergic Wheezing
- Allergies
- Altered Bowel Habits
- Anal Itching
- Anal Pain
- Anemia
- Angular Cheilitis
- Animal Bite
- Ankle Injury
- Ankle Instability
- Anorexia
- Anxiety
- Aphthous Ulcers
- Arm Pain
- Arm Weakness
- Arthralgia
- Asthma
- B12 Deficiency Anemia
- Back Injury
- Back Muscle Injury
- Back Muscle Pain
- Back Pain
- Bedbugs
- Behavioral Disorders
- Bereavement
- Bilateral Knee Pain
- Birth Control Counseling
- Birthmark
- Bleeding Hemorrhoids
- Blister
- Blood In Stool
- Blurred Vision
- Breast Discharge
- Breast Lump
- Bright Red Blood Per Rectum
- Bronchitis
- Bruising
- Burns
- Camp Physicals
- Cancer Prevention
- Cancer Screening
- Cardiovascular Disease
- Celiac Disease
- Cellulitis
- Cerumen Removal
- Chest Pain
- Chlamydia
- Choking Sensation
- Cholesterol Disorders
- Cholesterol Management
- Chronic Abdominal Pain
- Chronic Cough
- Chronic Diarrhea
- Chronic Disease Management
- Chronic Fatigue Syndrome (Cfs)
- Chronic Migraines
- Chronic Obstructive Pulmonary Disease
- Chronic Pain
- Claudication
- Cold Intolerance
- Cold Sore
- College Health
- Common Cold
- Concussion
- Concussion Testing
- Conduct Disorder
- Confusion
- Conjunctivitis
- Constant Nausea
- Constipation
- Contact Dermatitis
- Coping Skills
- Cough
- Cradle Cap
- Cystitis
- Daytime Sleepiness
- Decrease In Appetite
- Decreased Libido
- Dehydration
- Dementia
- Depressed Mood
- Depression
- Dermatophytosis
- Developmental Assessment
- Diabetes Counseling
- Diabetes Education
- Diabetes Management
- Diabetes Mellitus
- Diabetes Therapy
- Diarrhea
- Diet And Exercise
- Diet And Nutrition
- Disability Evaluation
- Disorder Of Balance
- Distractible
- Diverticulitis
- Dizziness
- Drug Reaction
- Dry Nose
- Dry Scalp
- Dry Sinus
- Dry Skin
- Dyshidrosis
- Dysmenorrhea
- Dyspepsia
- Dysphagia
- Dysphoria
- Dyspnea On Exertion
- Dysuria
- Ear Discharge
- Ear Drainage
- Ear Exam
- Ear Infections
- Ear Pressure
- Earache
- Eating Disorders
- Eczema
- Elbow Pain
- Elbow Sprain
- Emphysema
- Employee Health
- Enlarged Prostate
- Environmental Allergies
- Epicondylitis
- Epigastric Pain
- Epistaxis
- Erectile Disorder
- Eructation
- Erythema
- Eye Infections
- Eye Pain
- Eye Strain
- Face Swelling
- Facial Nerve Palsy And Paresis
- Facial Pain
- Facial Tingling
- Falls
- Family History Of Cancer
- Family History Of Heart Disease
- Fasciculations
- Fatigue
- Fecal Incontinence
- Feeding Problems
- Fever
- Fever With Chills
- Finger Pain
- First Degree Burns
- Flatulence
- Floaters
- Flu Shot Vaccination
- Folliculitis
- Food Allergy
- Food Poisoning
- Foot Injury
- Foot Pain
- Frailty
- Frequency Of Urination
- Frequent Urinary Tract Infections
- Gastric Ulcer
- Gastroenteritis
- Gastroesophageal Reflux Disease
- Genital Herpes, Female
- Genital Herpes, Male
- Genital Warts
- Gluten Sensitivity
- Gout
- Grave's Disease
- Grief
- Groin Mass
- Groin Pain
- Hand Injury
- Hand Pain
- Head Congestion
- Headache
- Health Maintenance
- Hearing Loss
- Heart Disease
- Heart Murmur
- Heart Racing
- Heat Intolerance
- Heel Pain
- Hematochezia
- Hematuria
- Hemoptysis
- Hemorrhoids
- Hepatitis A Vaccination
- Hepatitis B Vaccination
- Hernia
- Herpes
- Herpes Zoster
- Herpetic Whitlow
- Hip Pain
- Hirsutism
- Hoarseness
- Human Papilloma Virus (Hpv) Vaccination
- Hyperglycemia
- Hypertension
- Hypothyroidism
- Impacted Cerumen
- Impetigo
- Infectious Mononucleosis
- Influenza
- Ingrown Hair
- Ingrown Nail
- Insect Allergy
- Insulin Resistance
- Intention Tremor
- Interstitial Cystitis
- Intertrigo
- Iron Deficiency Anemia
- Irregular Menstruation
- Irritability
- Itchy Ear
- Jaundice
- Joint Sprain
- Joint Stiffness
- Joint Swelling
- Joint Warmth
- Keloid
- Keratin Cyst
- Keratitis
- Keratosis Pilaris
- Knee Click
- Knee Injury
- Knee Pain
- Labyrinthitis
- Lactose Intolerance
- Laryngitis
- Lateral Epicondylitis
- Leg Numbness
- Leg Pain
- Leg Weakness
- Lethargy
- Lice
- Lifestyle Modification
- Lipomas
- Lower Back Pain
- Lump In Throat
- Lyme Disease
- Lymphadenopathy
- Malaise And Fatigue
- Measles Vaccination
- Medial Epicondylitis
- Memory Disorders
- Meningitis Vaccination
- Mens Health
- Migraine
- Mmr Vaccine
- Mood Symptoms
- Motion Sickness
- Mouth Bleeding
- Mouth Pain
- Mouth Ulcer
- Muscle Cramps
- Muscle Strain
- Muscle Weakness
- Musculoskeletal Pain
- Myalgia
- Nail Disease
- Nasal Congestion
- Nasal Obstruction
- Nausea
- Neck Muscle Injury
- Neck Pain
- Neck Sprain
- Neonatal Acne
- Nevus
- Newborn Care
- Newborn Feeding Problems
- Night Sweats
- Nightmares
- Nipple Discharge
- Noisy Breathing
- Norovirus
- Nose Pain
- Numbness
- Nutrition And Health
- Nutritional Counseling
- Obesity
- Odynophagia
- Optic Migraines
- Orthopnea
- Orthostatic Hypotension
- Osteoarthritis
- Osteopenia
- Osteoporosis
- Otalgia
- Otitis
- Overweight
- Palpitations
- Panic Reaction
- Paresthesia
- Paronychia
- Patellofemoral Syndrome
- Penile Bleeding
- Penile Discharge
- Performance Anxiety
- Persistent Cough
- Pertussis
- Pharyngitis
- Plantar Fasciitis
- Pleurisy
- Pleuritic Pain
- Pneumonia
- Pneumonia Vaccination
- Poison Ivy
- Poison Oak
- Polypharmacy
- Positional Vertigo
- Post Nasal Drip
- Prediabetes
- Preventive Medicine
- Problems With Smell And Taste
- Prostate Cancer Screening
- Prostate Examination
- Prostate Specific Antigen Blood Test
- Pruritus
- Pulmonary Infections
- Pyelonephritis
- Rash
- Rectal Bleeding
- Rectal Pain
- Respiratory Syncytial Virus
- Restless Legs Syndrome
- Rhinitis
- Rosacea
- Scab
- Scabies
- Scaly Skin
- School Anxiety
- Sciatica
- Scratchy Voice
- Scrotal Pain
- Seasonal Allergies
- Seborrheic Dermatitis
- Secondary Enuresis
- Sensitive Skin
- Severe Asthma
- Sexually Transmitted Disease (Std)
- Shin Splints
- Shingles Vaccination
- Shortness Of Breath (Sob)
- Shoulder Pain
- Shoulder Sprain
- Shoulder Strain
- Sinus Pain
- Sinus Pressure
- Sinusitis
- Skin Abscess
- Skin Cancer Screening
- Skin Disease
- Skin Tag
- Skin Tag Removal
- Sleep Disorders
- Sleep Terrors
- Slowing Of Urinary Stream
- Smoker Cough
- Snoring
- Sore Throat
- Spider Bite
- Splinter Removal
- Sports Physical Exam
- Sports Related Concussion Testing
- Sprain
- Sputum Production
- Staphylococcus Infections
- Stomach Cancer
- Stomach Cramps
- Stomach Pain
- Stool Changes
- Straining On Urination
- Strep Throat
- Stress Incontinence
- Stridor
- Stye
- Substance Addiction
- Sudden Infant Death Syndrome
- Suicidal Ideation
- Sunburn
- Suture Removal
- Swallowing Problem
- Syncope
- Tachycardia
- Teething
- Tension Headache
- Testicular Pain
- Throat Tightness
- Thumb Dislocation
- Thyroid Disorder
- Tick Borne Infections
- Tinea Capitis
- Tinea Corporis
- Tinea Cruris
- Tinea Pedis
- Tingling
- Tinnitus
- Tobacco Use Cessation
- Tongue Pain
- Tongue Swelling
- Tracheobronchitis
- Travel Medicine
- Traveler's Diarrhea
- Tremor
- Tuberculosis (Tb) Test
- Twitching
- Type 1 Diabetes
- Type 2 Diabetes
- Unsteady Gait
- Upper Back Pain
- Upper Respiratory Infection
- Urethral Discharge
- Urge Incontinence
- Urinary Hesitation
- Urinary Retention
- Urinary Tract Infection
- Urinary Urgency
- Urticaria
- Vaccinations
- Varicella
- Varicella Vaccination
- Vasovagal Syncope
- Vertigo
- Viral Conjunctivitis
- Virtual Care
- Visual Discomfort
- Visual Disturbance
- Vitamin D Deficiency
- Vitamin Deficiency
- Voice Problems
- Vomiting
- Warts
- Weakness
- Weight Loss
- Weight Problem
- Well Adult Exam
- Well Child Exam
- Wellness
- Wheezing
- Wrist Pain
- Wrist Sprain
Finally found a Dr that respects me and listens to me too.
Providence Patient