Wennhold, Kim A

Wennhold, Kim A is an individual health care provider with primary practice located at 998 Library Ct , Oregon City OR 97045-4041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Wennhold, Kim A can be contacted via phone (503) 655-8401.

Contact Information

Primary practice address
998 Library Ct Oregon City OR 97045-4041
Phone: (503) 655-8401
Fax: (503) 655-8429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD21250 Oregon

Profile Details

NPI number 1053331926
LBN Legal business name Wennhold, Kim A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 20th, 2012 - about 13 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 1053331926 NPPES
Oregon MEDICAID 286446

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