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Individual

MRS. KIMBERLY DIANA KONCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, RD

Contact information

Practice address
4011 TALBOT RD S, SUITE 100, RENTON, WA 98055-5773
(425) 656-4006
Mailing address
4011 TALBOT RD S, SUITE 100, RENTON, WA 98055-5773
(425) 656-4006

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
I60682859
WA

Other

Enumeration date
02/09/2017
Last updated
04/04/2017
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