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Individual

KIMBERLY G HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4060 E STEVEN CIR, SEATTLE, WA 98195-0001
(206) 616-2495
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00035714
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00035714
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
232910
INTERNAL ID-MOTOR VEHICLE ID
05
8218984
WA
Enumeration date
10/27/2006
Last updated
03/22/2011
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