Individual
KADY BRIDGET KILVENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7089
(253) 874-6934
Mailing address
12121 105TH AVENUE CT E APT A, PUYALLUP, WA 98374-2635
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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