Poole, Kimberlee Elizabeth

Poole, Kimberlee Elizabeth is an individual health care provider with primary practice located at 1550 S Pioneer Way Ste 200 , Moses Lake WA 98837-4614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Poole, Kimberlee Elizabeth can be contacted via phone (509) 793-9787.

Contact Information

Primary practice address
1550 S Pioneer Way Ste 200 Moses Lake WA 98837-4614
Phone: (509) 793-9787
Fax: (509) 764-3263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006565 Washington

Profile Details

NPI number 1275539256
LBN Legal business name Poole, Kimberlee Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 27th, 2021 - about 4 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 1275539256 NPPES
Washington MEDICAID 1275539256
Washington Other 0235658
Washington Other 314892
Washington Other P01256552

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