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Individual

DR. RYAN KIMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-6195
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00044718
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0221053
L&I
WA
05
1336162254
WA
Enumeration date
07/25/2006
Last updated
09/04/2012
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