Lavender, Kimberly Marie

Lavender, Kimberly Marie is an individual health care provider with primary practice located at 11800 Ne 128Th St Suite 100, Kirkland WA 98034-7208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lavender, Kimberly Marie can be contacted via phone (425) 899-4500.

Contact Information

Primary practice address
11800 Ne 128Th St Suite 100 Kirkland WA 98034-7208
Phone: (425) 899-4500
Fax: (425) 899-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60585175 Washington

Profile Details

NPI number 1619261930
LBN Legal business name Lavender, Kimberly Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Sep 29th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619261930 NPPES
Florida MEDICAID 003906300

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