Individual
KATHRYN MARIE IMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60473118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5101018952
—
MI
Enumeration date
06/29/2010
Last updated
04/19/2021
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