Individual
KIMBERLY G. JANNISON DARCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3209 S 23RD ST, SUITE 340, TACOMA, WA 98405-1602
(253) 272-5127
(253) 272-0811
Mailing address
2420 S UNION AVE, STE 200, TACOMA, WA 98405-1322
(253) 272-8148
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003817
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8349045
—
WA
Enumeration date
01/22/2007
Last updated
04/08/2014
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