Individual
KANITHA KHIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11829 SE 228TH PL, KENT, WA 98031-3717
(206) 375-9907
Mailing address
11829 SE 228TH PL, KENT, WA 98031-3717
(206) 375-9907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61098100
WA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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