Mecham, Kimberly
Mecham, Kimberly is an sole proprietor health care provider with primary practice located at 2357 Ne Conners Ave Ste 210 , Bend OR 97701-7427. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mecham, Kimberly can be contacted via phone (541) 389-3073.Contact Information
Primary practice address
2357 Ne Conners Ave Ste 210
Bend OR 97701-7427
Phone: (541) 389-3073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H5094 | Oregon |
Profile Details
| NPI number | 1053784538 |
|---|---|
| LBN Legal business name | Mecham, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2015 |
| Last updated | May 2nd, 2023 - about 2 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 | 1053784538 | NPPES |
| Oregon | MEDICAID | 270364023 |
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