Individual
ANDREW JON KIMITSUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3920 CAPITAL MALL DR SW STE 100, OLYMPIA, WA 98502-8701
(360) 706-6250
Mailing address
5900 SOUNDVIEW DR APT 903, GIG HARBOR, WA 98335-2009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61633154
WA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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