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Individual

MRS. SARA KATE KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
204 PINEHURST DRIVE SW, SUITE #103, TUMWATER, WA 98501-4500
(360) 352-8112
(360) 352-8113
Mailing address
204 PINEHURST DR SW, SUITE #103, TUMWATER, WA 98501-4500
(360) 352-8112
(360) 352-8113

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018630
WA

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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