Individual
MICHELLE KICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6201 REID DR NW, GIG HARBOR, WA 98335-1349
(314) 780-0810
Mailing address
6201 REID DR NW, GIG HARBOR, WA 98335-1349
(314) 780-0810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AP61012024
WA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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