Individual
KIMIAM WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(425) 598-4092
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
(425) 598-4092
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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