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KIMBERLY MATHAI MS RD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MATHAI MS RD (DIETICIAN)
(206) 363-5420
Entity
Organization

Contact information

Practice address
2111 N NORTHGATE WAY STE 217, SEATTLE, WA 98133-9018
(206) 363-5420
(206) 283-2682
Mailing address
PO BOX 1718, AUBURN, WA 98071-1718
(253) 833-3255
(253) 288-2203

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000974
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7600844
WA
Enumeration date
09/26/2006
Last updated
08/22/2020
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