Most Relevant Information
Provider Data
| NPI Number: | 1003477902 |
| Provider Name: | KIMBER MARIE KENZLI OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OD60943168 |
Most Important Dates
| Enumeration Date: | 06/22/2019 |
| Last Updated: | 02/26/2024 |
Provider Practice Location
9800 LEVIN RD NW STE 208
SILVERDALE
WA
983837849
Practice Location Phone/Fax
| Phone: | 3606980600 |
| Fax: | 3606130222 |
Provider Mailing Location
PO BOX 5299
MS: 820-5-PCO
TACOMA
WA
984150299
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |