Individual
MS. KIMBERLY ANN SEVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10500 NE 8TH ST STE 212, BELLEVUE, WA 98004-4351
(425) 749-1503
Mailing address
10500 NE 8TH ST STE 212, BELLEVUE, WA 98004-4351
(425) 749-1503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60018863
WA
Other
Enumeration date
11/03/2008
Last updated
03/04/2009
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