Individual
KIM MICHELLE CARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10030 SW 210TH ST, VASHON, WA 98070-6584
(206) 463-3671
(064) 633-6132
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61355610
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2226224
—
WA
Enumeration date
09/12/2022
Last updated
05/03/2024
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