TIMOTHY MIKEAL KIDNEIGH

SHELTON, WA
NPI1881363703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2021-09-13
Last Update Date2022-12-12
Business Address
TIMOTHY MIKEAL KIDNEIGH
110 W K ST
SHELTON, WA 98584-2944
Phone number: 360-426-1696
Mailing Address
TIMOTHY MIKEAL KIDNEIGH
110 W K ST
SHELTON, WA 98584-2944
Phone number: 360-426-1696