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Individual

SONY PAMELA KILGORE-MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35076891
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60164774
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2403830
OH
Enumeration date
05/01/2006
Last updated
04/22/2021
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