Copeland, Kimberly H.
Copeland, Kimberly H. is an individual health care provider with primary practice located at 2121 Ne 139Th St Suite 200, Vancouver WA 98686-2316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Copeland, Kimberly H. can be contacted via phone (360) 487-1777.Contact Information
Primary practice address
2121 Ne 139Th St Suite 200
Vancouver WA 98686-2316
Phone: (360) 487-1777
Fax: (360) 487-1779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | MD21409 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00044472 | Washington |
Profile Details
| NPI number | 1114948668 |
|---|---|
| LBN Legal business name | Copeland, Kimberly H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Oct 12th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114948668 | NPPES |
| Washington | Other | MD00044472 | WA STATE LICENSE |
| Washington | MEDICAID | PENDING | WA STATE LICENSE |
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