Individual
DR. KIMBERLEY A KACOROSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
12236 NE 67TH ST, KIRKLAND, WA 98033-8546
(425) 828-1967
Mailing address
12236 NE 67TH ST, KIRKLAND, WA 98033-8546
(425) 822-4927
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
025205NT00007537
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3715KA
REGENCE BLUE SHIELD
WA
Enumeration date
11/17/2006
Last updated
07/08/2007
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