Clark, Kim J.
Clark, Kim J. is an individual health care provider with primary practice located at 1424 16Th Ave , Longview WA 98632-2901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Clark, Kim J. can be contacted via phone (360) 425-6620.Contact Information
Primary practice address
1424 16Th Ave
Longview WA 98632-2901
Phone: (360) 425-6620
Fax: (360) 425-1277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00018876 | Washington |
Profile Details
| NPI number | 1609069087 |
|---|---|
| LBN Legal business name | Clark, Kim J. |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Aug 20th, 2007 - about 19 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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