Individual
DR. TYLER GRAHAM KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21616 76TH AVE W, SUITE 112, EDMONDS, WA 98026-7512
(425) 775-6651
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD60667019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8882307
MEDICARE NON-KING CO.
WA
01
—
G8882308
MEDICARE KING CO
WA
Enumeration date
02/14/2007
Last updated
07/14/2011
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