Funderburk, Kim Evangeline
Funderburk, Kim Evangeline is an sole proprietor health care provider with primary practice located at 401 W Main St Ste B, Walla Walla WA 99362-2837. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Funderburk, Kim Evangeline can be contacted via phone (509) 240-2644.Contact Information
Primary practice address
401 W Main St Ste B
Walla Walla WA 99362-2837
Phone: (509) 240-2644
Fax: (509) 524-0260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60020675 | Washington |
Profile Details
| NPI number | 1346360658 |
|---|---|
| LBN Legal business name | Funderburk, Kim Evangeline |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jun 2nd, 2014 - about 10 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.
Popular Providers
-
Garcia, Richard A
408 W Poplar St , Walla Walla WA 99362-2831 -
Birchwood-Glover, Oliver
409 E Sumach St Ste 4 , Walla Walla WA 99362 -
Parker, Edward Anthony
77 Wainwright Dr , Walla Walla WA 99362-3975 -
Randall, Aaron Henry
1120 W Rose St , Walla Walla WA 99362-1662 -
Erickson, Marie Elizabeth
207 E Cherry St Butler House, Walla Walla WA 99362 -
Smiley, Lalani C
409 E Sumach St , Walla Walla WA 99362-1228 -
Wiedemann, Teresa
139 Russet Rd , Walla Walla WA 99362-8253 -
Reiber, Laura Grace
2330 Eastgate St Ste 207 , Walla Walla WA 99362-1559