Kikillus, Pamela J
Kikillus, Pamela J is an individual health care provider with primary practice located at 8011 112Th Street Ct E , Puyallup WA 98373-7814. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kikillus, Pamela J can be contacted via phone (253) 848-0662.Contact Information
Primary practice address
8011 112Th Street Ct E
Puyallup WA 98373-7814
Phone: (253) 848-0662
Fax: (253) 848-8567
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00005876 | Washington |
Profile Details
NPI number | 1063468585 |
---|---|
LBN Legal business name | Kikillus, Pamela J |
Credentials | PT, DSC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1063468585 | NPPES |
Washington | Other | 444955 | LABOR & INDUSTRIES |
Washington | MEDICAID | 8346983 | LABOR & INDUSTRIES |
Washington | Other | 9605LE | LABOR & INDUSTRIES |
Washington | Other | 8930578 | LABOR & INDUSTRIES |
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