Mcdermott, Kimberly J
Mcdermott, Kimberly J is an individual health care provider with primary practice located at 16200 116Th Ave Se , Renton WA 98058-5200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mcdermott, Kimberly J can be contacted via phone (425) 400-1899.Contact Information
Primary practice address
16200 116Th Ave Se
Renton WA 98058-5200
Phone: (425) 400-1899
Fax: (425) 663-8000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00031795 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00031795 | Washington |
Profile Details
| NPI number | 1437159209 |
|---|---|
| LBN Legal business name | Mcdermott, Kimberly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jan 23rd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437159209 | NPPES |
| Washington | MEDICAID | 1437159209 |
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