Individual
KIMBERLY K DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1101 SUPERMALL WAY #1269, AUBURN, WA 98001
(253) 269-0261
(360) 692-1718
Mailing address
9889 CENTRAL VALLEY RD, BREMERTON, WA 98311
(360) 692-7321
(360) 692-1718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60229232
WA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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