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Individual
KIMBERLY D MACINTOSH
Active
Individual
KIMBERLY D MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60764670
WA
163WH0200X
Home Health Registered Nurse
RN60764670
WA
163WH1000X
Hospice Registered Nurse
RN60764670
WA
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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