Individual
DR. EVA DOREEN KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(206) 870-8880
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00048726
WA
2080A0000X
Pediatric Adolescent Medicine Physician
MD00048726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336101906
—
WA
Enumeration date
04/06/2006
Last updated
02/07/2012
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