Individual
KYLE PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 CAPITAL MALL DR SW STE A, OLYMPIA, WA 98502-8654
(206) 616-4001
Mailing address
3901 CAPITAL MALL DR SW STE A, OLYMPIA, WA 98502-8654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1225601669
WA
Other
Enumeration date
07/22/2021
Last updated
03/20/2023
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