Individual
DR. KIMBERLY ANNE WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 CIRQUE DR W STE 200, UNIVERSITY PLACE, WA 98467-3639
(253) 848-3000
(253) 845-8750
Mailing address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 845-8750
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD60048557
WA
Other
Enumeration date
10/27/2005
Last updated
04/06/2018
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