Wilson, Kimberly Michelle

Wilson, Kimberly Michelle is an sole proprietor health care provider with primary practice located at 1800 Cooks Hill Rd Suite A, Centralia WA 98531. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Wilson, Kimberly Michelle can be contacted via phone (360) 736-2853.

Contact Information

Primary practice address
1800 Cooks Hill Rd Suite A Centralia WA 98531
Phone: (360) 736-2853
Fax: (360) 736-4159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA13686 Washington
Other Service Providers / Acupuncturist 171100000X AC60241994 Washington

Profile Details

NPI number 1932269313
LBN Legal business name Wilson, Kimberly Michelle
Credentials L.M.P. AND L.A.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Nov 23rd, 2011 - about 15 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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