Ireland, Kimberly
Ireland, Kimberly is an individual health care provider with primary practice located at 150 Dennis St Sw , Tumwater WA 98501-5459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ireland, Kimberly can be contacted via phone (360) 754-6367.Contact Information
Primary practice address
150 Dennis St Sw
Tumwater WA 98501-5459
Phone: (360) 754-6367
Fax: (360) 754-6429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30003585 | Washington |
Profile Details
| NPI number | 1285711358 |
|---|---|
| LBN Legal business name | Ireland, Kimberly |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 3rd, 2012 - about 14 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 | 1285711358 | NPPES |
| Washington | MEDICAID | 9616095 |
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