Milne, Kimberly

Milne, Kimberly is an individual health care provider with primary practice located at 1057 12Th Ave , Longview WA 98632-2509. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Milne, Kimberly can be contacted via phone (360) 636-3892.

Contact Information

Primary practice address
1057 12Th Ave Longview WA 98632-2509
Fax: (360) 414-1114
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00006871 Washington

Profile Details

NPI number 1942214275
LBN Legal business name Milne, Kimberly
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942214275 NPPES
Washington MEDICAID 5019492

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