Wennhold, Kim A
Wennhold, Kim A is an individual health care provider with primary practice located at 998 Library Ct , Oregon City OR 97045-4041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Wennhold, Kim A can be contacted via phone (503) 655-8401.Contact Information
Primary practice address
998 Library Ct
Oregon City OR 97045-4041
Phone: (503) 655-8401
Fax: (503) 655-8429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD21250 | Oregon |
Profile Details
| NPI number | 1053331926 |
|---|---|
| LBN Legal business name | Wennhold, Kim A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Nov 20th, 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 | 1053331926 | NPPES |
| Oregon | MEDICAID | 286446 |
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