Individual
KILIA MARIE SHANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4040 S 188TH ST STE 201, SEATAC, WA 98188-5070
(206) 277-7200
(206) 277-7202
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD61607488
WA
208000000X
Pediatrics Physician
Primary
MD61607488
WA
Other
Enumeration date
04/27/2021
Last updated
02/17/2025
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