Individual
KIMBERLY A EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1107 OAK ST, MILTON, WA 98354-9234
(253) 896-1212
Mailing address
1214 S SHERIDAN AVE, TACOMA, WA 98405-3556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018397
WA
Other
Enumeration date
10/21/2006
Last updated
07/08/2007
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