Individual
KIMBERLY ANN MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7958
Mailing address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7958
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD16399
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690900
—
HI
01
—
P01078149
RR MEDICARE
HI
Enumeration date
03/18/2007
Last updated
04/27/2021
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