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Individual

KITTY CARMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CDE

Contact information

Practice address
7530 204TH ST NE, ARLINGTON, WA 98223-8912
(360) 435-7337
(360) 435-3510
Mailing address
22607 29TH PLACE NE, GRANITE FALLS, WA 98252
(425) 428-5553

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
RN00050644
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30003213
WA
363LP2300X
Primary Care Nurse Practitioner
AP30003213
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9632522
WA
Enumeration date
08/21/2006
Last updated
04/05/2010
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