Individual provider · Type 1 NPI

Kimberly Edan, MD

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

NPI number 1407599335 Active

Practice location

850 Republican St # 358047
Seattle, WA 98109-4725

Call (206) 221-1452 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XLL87588 (SC)
Pediatrics Physician 208000000XMDRE.ML.70005485 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1407599335

Kimberly Edan, MD's National Provider Identifier is 1407599335, issued on Apr 19, 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 Jul 7, 2025.