Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Edan, MD

Individual provider Pediatrics Physician · NPI 1407599335

Kimberly Edan, MD is a Pediatrics Physician in Seattle, Washington. Practices as a sole proprietor. Licensed in South Carolina and Washington.

Licensed in
SC, WA
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

850 Republican St # 358047
Seattle, WA 98109-4725
Phone: (206) 221-1452
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence LL87588 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence MDRE.ML.70005485 (WA)

Record details

NPI number1407599335
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address850 Republican St # 358047, Seattle, WA 98109-4725

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