Individual
JORDAN DARYOUSH KAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 447-2164
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60213730
WA
363L00000X
Nurse Practitioner
AP61311416
WA
Other
Enumeration date
03/16/2020
Last updated
04/11/2024
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