Individual
KIMBERLY SUE MORISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
12629 468TH AVE SE, NORTH BEND, WA 98045-8801
(602) 430-1722
Mailing address
12629 468TH AVE SE, NORTH BEND, WA 98045-8801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
811655
WA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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