Individual
KIMBERLY J MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16200 116TH AVE SE, RENTON, WA 98058-5200
(425) 400-1899
(425) 663-8000
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
MD00031795
WA
208000000X
Pediatrics Physician
Primary
MD00031795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437159209
—
WA
Enumeration date
07/22/2005
Last updated
01/23/2025
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