Individual
KIMBERLY DAWN KIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6877
Mailing address
14864 SE 50TH ST, BELLEVUE, WA 98006-3508
(425) 349-6877
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
RC60070991
WA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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