Individual
MS. KIRA SUSAN VADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4320 196TH ST SW, LYNNWOOD, WA 98036-6773
(425) 774-8758
Mailing address
8915 217TH ST SW, EDMONDS, WA 98026-7849
(425) 776-0559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004636
WA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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