Individual
LISA ANN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2334
(206) 768-5382
Mailing address
121 LAKESIDE AVE APT 404, SEATTLE, WA 98122-6588
(206) 764-2334
(206) 768-5382
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00007866
WA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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