Herner, Kimberley K
Herner, Kimberley K is an individual health care provider with primary practice located at 27500 168Th Pl Se , Covington WA 98042-5563. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Herner, Kimberley K can be contacted via phone (256) 903-4304.Contact Information
Primary practice address
27500 168Th Pl Se
Covington WA 98042-5563
Phone: (256) 903-4304
Fax: (425) 690-9430
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD00032100 | Washington |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00032100 | Washington |
Profile Details
NPI number | 1740202514 |
---|---|
LBN Legal business name | Herner, Kimberley K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Mar 10th, 2020 - 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 | 1740202514 | NPPES |
Washington | MEDICAID | 1045456 | |
Washington | Other | G8891459 |
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