Stoneking, Kim Warren

Stoneking, Kim Warren is an individual health care provider with primary practice located at 1718 E Kessler Blvd , Longview WA 98632-1842. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stoneking, Kim Warren can be contacted via phone (360) 747-5800.

Contact Information

Primary practice address
1718 E Kessler Blvd Longview WA 98632-1842
Phone: (360) 747-5800
Fax: (360) 575-3846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00048025 Washington

Profile Details

NPI number 1023135266
LBN Legal business name Stoneking, Kim Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 30th, 2012 - about 12 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 1023135266 NPPES
Washington Other 0222573 LABOR & INDUSTRIES
Washington Other P00416095 LABOR & INDUSTRIES
Washington MEDICAID 8486078 LABOR & INDUSTRIES
Washington Other 8944963 LABOR & INDUSTRIES

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