Individual
DR. KIM KENDALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1728 E MADISON ST, SEATTLE, WA 98122-2733
(206) 329-8845
Mailing address
1728 E MADISON ST, SEATTLE, WA 98122-2733
(206) 329-8845
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001379
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KE 9670
REGENCE BLUE SHIELD
WA
Enumeration date
04/13/2006
Last updated
07/08/2007
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