Organization Name: | MOMS ARE US AND KIDS 2 PLLC |
NPI Number: | 1053570788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN A KIMERLING (OPERATION MANAGER) |
Mailing Address: | 207 N Dennis St Kennewick |
State: | WA US |
Postal Code: | 993363129 |
Phone Number: | 5094604824 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2008 |
NPI Last Update Date: | 06/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30003677 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |