Organization
CARDINAL CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY PALMER NURSE PRACTITIONER (OWNER)
(206) 658-3366
Entity
Organization
Contact information
Practice address
8909 GRAVELLY LAKE DR SW STE E, LAKEWOOD, WA 98499-3101
(253) 625-7274
Mailing address
8909 GRAVELLY LAKE DR SW STE E, LAKEWOOD, WA 98499-3101
(253) 625-7274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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