Individual
KORY MATTHEW SIMONSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
10904 167TH AVE NE, REDMOND, WA 98052-2752
(425) 220-3394
(425) 242-3115
Mailing address
10904 167TH AVE NE, REDMOND, WA 98052-2752
(425) 220-3394
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61462517
WA
Other
Enumeration date
06/22/2022
Last updated
10/17/2024
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