Individual
KIMBERLY KAY CHAREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(564) 397-8000
(564) 397-8110
Mailing address
PO BOX 9825, VANCOUVER, WA 98666-8825
(564) 397-8000
(564) 397-8110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60752039
WA
171M00000X
Case Manager/Care Coordinator
Primary
RN60752039
WA
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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