Craven, Kimberly Richards
Craven, Kimberly Richards is an individual health care provider with primary practice located at 1424 S Bernard St , Spokane WA 99203-2154. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Craven, Kimberly Richards can be contacted via phone (509) 747-7166.Contact Information
Primary practice address
1424 S Bernard St
Spokane WA 99203-2154
Phone: (509) 747-7166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00010773 | Washington |
Profile Details
| NPI number | 1134274335 |
|---|---|
| LBN Legal business name | Craven, Kimberly Richards |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jan 4th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134274335 | NPPES |
| Washington | MEDICAID | 1003288 |
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