Chambers, Kimberly

Chambers, Kimberly is an individual health care provider with primary practice located at 921 14Th Ave , Longview WA 98632-2316. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Chambers, Kimberly can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
921 14Th Ave Longview WA 98632-2316
Fax: (360) 577-0269
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 60220195 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X 60555197 Washington

Profile Details

NPI number 1508307703
LBN Legal business name Chambers, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Feb 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508307703 NPPES
Washington MEDICAID 2097717

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