Individual
REBECCA KMITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S. NCSP
Contact information
Practice address
514 4TH STREET, SULTAN, WA 98294
(360) 793-9800
Mailing address
14529 114TH AVE NE, KIRKLAND, WA 98034
(360) 793-9860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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