Individual
KIMBERLEE ELIZABETH POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 S PIONEER WAY STE 200, MOSES LAKE, WA 98837-4614
(509) 793-9787
(509) 764-3263
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0235658
L&I
WA
05
—
1275539256
—
WA
01
—
314892
L&I POST 7/21/13
WA
01
—
P01256552
RR MEDICARE
WA
Enumeration date
06/23/2005
Last updated
05/04/2026
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