Funchess, Kimberly Lynn
Funchess, Kimberly Lynn is an individual health care provider with primary practice located at 19500 10Th Ave Ne Suite 100, Poulsbo WA 98370-6553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Funchess, Kimberly Lynn can be contacted via phone (360) 598-7500.Contact Information
Primary practice address
19500 10Th Ave Ne Suite 100
Poulsbo WA 98370-6553
Phone: (360) 598-7500
Fax: (360) 598-7505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3343 | Arizona |
Profile Details
| NPI number | 1639159189 |
|---|---|
| LBN Legal business name | Funchess, Kimberly Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Feb 14th, 2019 - about 5 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 | 1639159189 | NPPES |
| Arizona | MEDICAID | 985608 | |
| Arizona | Other | PA60322657 |
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