Kim Pruess Nevins MD Pllc

NPI #1255311122 in Issaquah, Washington

Provider Information

NPI Number: 1255311122
Entity Type: Organization
Organization Name: Kim Pruess Nevins MD Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 18, 2006
Last Updated: May 31, 2011

Practice Location

Address: 450 NW GILMAN BLVD
Address 2: STE 301A
City: Issaquah
State: Washington
ZIP Code: 98027
Phone: (425) 391-0313

Authorized Official

Name: KIM ELIZABETH PRUESS NEVINS, MD
Title: MD OWNER
Phone: (425) 391-0313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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