Larson, Kimberly C
Larson, Kimberly C is an individual health care provider with primary practice located at 2420 S Union Ste 300, Tacoma WA 98405-1387. 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. Larson, Kimberly C can be contacted via phone (253) 756-0888.Contact Information
Primary practice address
2420 S Union Ste 300
Tacoma WA 98405-1387
Phone: (253) 756-0888
Fax: (253) 752-1704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004275 | Washington |
Profile Details
| NPI number | 1215903752 |
|---|---|
| LBN Legal business name | Larson, Kimberly C |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Apr 26th, 2021 - about 3 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 | 1215903752 | NPPES |
| Washington | Other | 0256770 | STATE L&I |
| Washington | Other | 0256322 | STATE L&I |
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