Individual
KELLY B KIM-CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
563 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1768
(206) 855-8455
(206) 855-8465
Mailing address
563 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1768
(206) 855-8455
(206) 855-8465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PI00006092
WA
Other
Enumeration date
08/01/2006
Last updated
02/14/2018
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