Individual
KIM L HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7650
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013738
—
WA
Enumeration date
12/26/2006
Last updated
02/14/2019
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