Glidewell, Kim
Glidewell, Kim is an individual health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Glidewell, Kim can be contacted via phone (541) 883-1030.Contact Information
Primary practice address
2210 N Eldorado Ave
Klamath Falls OR 97601-6418
Phone: (541) 883-1030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1083916464 |
|---|---|
| LBN Legal business name | Glidewell, Kim |
| Credentials | QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2010 |
| Last updated | Nov 17th, 2010 - about 14 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 | 1083916464 | NPPES |
| Oregon | MEDICAID | 223354 |
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