Individual
KIM D. JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE # 350, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1724
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
A94841
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00045019
WA
Other
Enumeration date
04/09/2007
Last updated
11/12/2014
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