Donaldson, Kisha D
Donaldson, Kisha D is an individual health care provider with primary practice located at 118 E 8Th St , Port Angeles WA 98362-6129. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Donaldson, Kisha D can be contacted via phone (360) 457-0431.Contact Information
Primary practice address
118 E 8Th St
Port Angeles WA 98362-6129
Phone: (360) 457-0431
Fax: (360) 457-0497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1740763283 |
|---|---|
| LBN Legal business name | Donaldson, Kisha D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2018 |
| Last updated | Nov 1st, 2021 - about 5 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 | 1740763283 | NPPES |
| South Carolina | Other | 3335 | MEDICARE |
| South Carolina | MEDICAID | 421504 | MEDICARE |
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