Individual provider · Type 1 NPI

Kristin Van de Kamp, SUDPT

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1023765104 Active

Practice location

10521 Meridian Ave N
Seattle, WA 98133-9509

Call (253) 833-7444 Map

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO61205061 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023765104

Kristin Van de Kamp, SUDPT's National Provider Identifier is 1023765104, issued on Mar 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Mar 8, 2022.