White, Kimberly S

White, Kimberly S is an sole proprietor health care provider with primary practice located at 2310 N Molter Rd Suite 108, Liberty Lake WA 99019-5036. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. White, Kimberly S can be contacted via phone (509) 924-4443.

Contact Information

Primary practice address
2310 N Molter Rd Suite 108 Liberty Lake WA 99019-5036
Fax: (509) 924-1249
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH60287673 Washington

Profile Details

NPI number 1124380589
LBN Legal business name White, Kimberly S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2012
Last updated Apr 26th, 2016 - about 10 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 1124380589 NPPES
Other G8910053 MEDICARE PTAN

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