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Individual

KIM J WAARVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
504 N 40TH AVE, YAKIMA, WA 98908-4311
(509) 966-9480
(509) 966-3283
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044800
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8430142
WA
Enumeration date
07/26/2006
Last updated
02/04/2022
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