Individual
TONI L KESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2302
(253) 686-2004
Mailing address
PO BOX 97363, LAKEWOOD, WA 98497-0363
(253) 686-2004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015856
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5411KE
REGENCE BLUE SHIELD
WA
Enumeration date
02/11/2007
Last updated
07/08/2007
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