Individual
KIMBERLEY WILSON KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.L.
Contact information
Practice address
2700 152ND AVE NE, REDMOND, WA 98052-5543
(425) 883-5693
(425) 883-5929
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410821
—
WA
Enumeration date
02/12/2007
Last updated
10/18/2007
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