Individual
MAUREEN KIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12005 MERIDIAN E STE 101, PUYALLUP, WA 98373-3423
(253) 841-6100
(253) 841-6139
Mailing address
12005 MERIDIAN E STE 101, PUYALLUP, WA 98373-3423
(253) 841-6100
(253) 841-6139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61466519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180453
—
WA
Enumeration date
04/12/2021
Last updated
02/18/2025
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