Van Dalsem, Kimberly

Van Dalsem, Kimberly is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Van Dalsem, Kimberly can be contacted via phone (360) 923-7000.

Contact Information

Primary practice address
700 Lilly Rd Ne Olympia WA 98506-5115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00004120 Washington

Profile Details

NPI number 1326188491
LBN Legal business name Van Dalsem, Kimberly
Credentials SPCT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jun 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326188491 NPPES
Washington MEDICAID 8233215

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