Individual
KIMBERLY K HUNTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15708 NE 48TH ST, VANCOUVER, WA 98682-5206
(360) 600-9090
Mailing address
15708 NE 48TH ST, VANCOUVER, WA 98682-5206
(360) 600-9090
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60803576
WA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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