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Individual

KIMBERLEY K HERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9245 RAINIER AVE S, SEATTLE, WA 98118-5569
(206) 548-5850
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 962-2342

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00032100
WA
207VX0000X
Obstetrics Physician
MD00032100
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1045456
WA
01
G8891459
MEDICARE - VALLEY MEDICAL GROUP
WA
Enumeration date
07/24/2006
Last updated
07/30/2024
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