Individual
KIMBERLEE M GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5110
(425) 793-4707
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
(206) 598-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60299966
WA
363AM0700X
Medical Physician Assistant
PA60299966
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548510258
—
WA
Enumeration date
09/11/2012
Last updated
05/16/2016
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