Simonsen, Kory Matthew
Simonsen, Kory Matthew is an sole proprietor health care provider with primary practice located at 10904 167Th Ave Ne , Redmond WA 98052-2752. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Simonsen, Kory Matthew can be contacted via phone (425) 220-3394.Contact Information
Primary practice address
10904 167Th Ave Ne
Redmond WA 98052-2752
Phone: (425) 220-3394
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61462517 | Washington |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1417688136 |
---|---|
LBN Legal business name | Simonsen, Kory Matthew |
Credentials | DNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 22nd, 2022 |
Last updated | Dec 16th, 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.
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