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Individual
KIMBERLY ELIZABETH HORVATH
Active
Individual
KIMBERLY ELIZABETH HORVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC CM
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
—
NULL
363A00000X
Physician Assistant
025211 PA10001876
WA
363A00000X
Physician Assistant
Primary
PA10001876
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270556
L&I
WA
05
—
1055128
—
WA
01
—
5413H0
REGENCE
WA
05
—
8345050
—
WA
01
—
G8895789
MEDICARE
WA
Enumeration date
12/23/2005
Last updated
12/04/2020
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