Individual
DR. SHELLY MARIE KVAMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15510 1ST AVE NE, DUVALL, WA 98019-6000
(206) 920-2111
Mailing address
12703 217TH ST SE, SNOHOMISH, WA 98296-3906
(206) 920-2111
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
PT00009393
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT00009393
—
WA
Enumeration date
07/27/2019
Last updated
07/27/2019
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