Individual
SUDEVI KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8856 16TH AVE SW, SEATTLE, WA 98106
(206) 446-1709
Mailing address
8856 16TH AVE SW, SEATTLE, WA 98106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA 60126141
WA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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