Brooke Annette Kimball, LMP

NPI #1164633814 in Edmonds, Washington

Provider Information

NPI Number: 1164633814
Entity Type: Individual
Name: Brooke Annette Kimball, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9631 FIRDALE AVE
City: Edmonds
State: Washington
ZIP Code: 98020-6519
Phone: (206) 271-5368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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