Individual
KIMBERLY EDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 REPUBLICAN ST # 358047, SEATTLE, WA 98109-4725
(206) 221-1452
Mailing address
850 REPUBLICAN ST # 358047, SEATTLE, WA 98109-4725
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL87588
SC
208000000X
Pediatrics Physician
MDRE.ML.70005485
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
07/07/2025
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