# KITSAP INTERNAL MEDICINE ASSOCIATES, INC, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205805264
- **Authorized official:** MRS. CAROL M AXTMAN (MANAGER)
- **Authorized official phone:** (360) 377-8571

## Contact information

- **Practice address:** 2601 CHERRY AVE, SUITE 315, BREMERTON, WA 98310-4203
- **Practice address phone:** (360) 377-8571
- **Practice address fax:** (360) 792-1608
- **Mailing address:** 2601 CHERRY AVE, SUITE 315, BREMERTON, WA 98310-4203
- **Mailing address phone:** (360) 377-8571
- **Mailing address fax:** (360) 792-1608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 600150638 | WA | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 01/15/2010