Chan, Kimberly Ming

Chan, Kimberly Ming is an individual health care provider with primary practice located at 9800 Levin Rd Nw Suite 204, Silverdale WA 98383-7856. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Chan, Kimberly Ming can be contacted via phone (360) 613-1335.

Contact Information

Primary practice address
9800 Levin Rd Nw Suite 204 Silverdale WA 98383-7856
Fax: (360) 613-1329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00046109 Washington

Profile Details

NPI number 1194896779
LBN Legal business name Chan, Kimberly Ming
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 3rd, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194896779 NPPES
Washington MEDICAID 8466666

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