Individual
MRS. KIMBERLY ANN FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
MAMC 9040A FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 297-8382
Mailing address
16408 96TH AVENUE CT E, PUYALLUP, WA 98375-9678
(253) 297-8382
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
RN00119906
WA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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