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Individual

DR. KATIE KIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1550 S PIONEER WAY STE 165, MOSES LAKE, WA 98837-4637
(509) 793-9780
(509) 764-3244
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
61041245
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2166726
WA
Enumeration date
06/25/2015
Last updated
05/04/2026
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