Individual
BROOKE ANNETTE KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9631 FIRDALE AVE, EDMONDS, WA 98020-6519
(206) 271-5368
(425) 778-1014
Mailing address
5710 198TH ST SW APT D, LYNNWOOD, WA 98036-6146
(425) 776-9382
(425) 778-1014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017893
WA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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