# KRISTY ZIEMKE PHD, PLLC

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

## Provider details

- **NPI number:** 1386241966
- **Authorized official:** DR. KRISTY ZIEMKE (PSYCHOLOGIST/OWNER)
- **Authorized official phone:** (206) 909-7978

## Contact information

- **Practice address:** 6642 S 193RD PL STE N106, KENT, WA 98032-3109
- **Practice address phone:** (206) 909-7978
- **Mailing address:** PO BOX 88994, TUKWILA, WA 98138-2994
- **Mailing address phone:** (435) 770-8479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 05/03/2022