Individual
KIMBRELY KAYLEAN HUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2722 NE 392ND AVE, WASHOUGAL, WA 98671-9682
(503) 358-0159
Mailing address
2722 NE 392ND AVE, WASHOUGAL, WA 98671-9682
(503) 358-0159
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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