Individual
KIMBERLY J MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
16523 7TH PL W, LYNNWOOD, WA 98037-8107
(425) 412-3280
(425) 412-3281
Mailing address
2111 N NORTHGATE WAY STE 217, SEATTLE, WA 98133-9018
(206) 363-5420
(206) 257-0488
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000974
WA
Other
Enumeration date
02/08/2008
Last updated
12/08/2011
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