Organization
DIABETES MANAGEMENT NORTHWEST PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KITTY L CARMICHAEL (ARNP)
(360) 435-5365
Entity
Organization
Contact information
Practice address
540 N WEST AVE, ARLINGTON, WA 98223-1251
(360) 435-5365
(360) 474-1394
Mailing address
540 N WEST AVE, ARLINGTON, WA 98223-1251
(360) 435-5365
(360) 474-1394
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
RN00050644
WA
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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