Individual
MRS. KIMBERLY TANYA MARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60310395
WA
Other
Enumeration date
10/03/2006
Last updated
05/06/2026
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