Individual
SAMANTHA SUZANNE KINGRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1231 116TH AVE NE STE 370800, BELLEVUE, WA 98004-3804
(425) 454-1010
Mailing address
8704 GREENWOOD AVE N APT 417, SEATTLE, WA 98103-5691
(210) 683-4812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116317
—
133V00000X
Registered Dietitian
DI61204883
WA
Other
Enumeration date
01/22/2021
Last updated
11/02/2025
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