Individual
KIMBERLEE MARIE TESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12333 NE 130TH LN STE 320B, KIRKLAND, WA 98034-7467
(425) 899-1342
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61081228
WA
363AM0700X
Medical Physician Assistant
Primary
61081228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194128116
—
WA
Enumeration date
10/04/2014
Last updated
10/08/2024
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