NPI 1609069087 MRS. KIM J. CLARK LMP LONGVIEW WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Kim J. Clark - NPI: 1609069087

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. KIM J. CLARK
NPI Number: 1609069087
Entity Type Code: Individual (1)
Gender: F
Credentials: LMP
License Number: MA00018876
Business Practice Address: 1424 16th Ave
Longview, WA - 986322901
Business Phone Number: 3604256620
Business Fax Number: 3604251277
Mailing Address: 1424 16th Ave,
LONGVIEW
State: WA
Postal Code: 986322901
Phone Number: 3604256620
Fax Number: 3604251277
NPI Enumeration Date: 08/20/2007
NPI Last Update Date: 08/20/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: MA00018876
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WA
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Massage Therapist
Taxonomy Specialization:
Taxonomy Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.


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