Individual
DR. KIRSTEN ERICA REDBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 706-6212
Mailing address
PO BOX 5299, MS: 1313-5-PCO, TACOMA, WA 98415-0299
(253) 459-8009
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0420011618
VT
207L00000X
Anesthesiology Physician
Primary
MD60175673
WA
207L00000X
Anesthesiology Physician
RT 1360
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015383
—
VT
Enumeration date
10/06/2006
Last updated
11/02/2022
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