Individual provider · Type 1 NPI

Kimberly Renee Formo, DC

Chiropractor · Woodinville, WA

NPI number 1336330877 Active

Practice location

17401 135th Ave NE, Suite 4
Woodinville, WA 98072-6825

Fax (425) 424-3256

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00034796 (WA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1336330877

Kimberly Renee Formo, DC's National Provider Identifier is 1336330877, issued on Aug 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Woodinville, WA. The record was last updated on Aug 8, 2007.