Individual
KEVIN DAVID LAMPSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 W MAIN ST, KELSO, WA 98626-1118
(360) 423-2806
Mailing address
404 W MAIN ST, KELSO, WA 98626-1118
(360) 423-2806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
07/07/2021
Last updated
02/10/2023
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