Individual
MRS. KIMBLERY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
409 N ARGONNE RD, SPOKANE VALLEY, WA 99212-2874
(509) 924-7311
Mailing address
4544 E BRUNNER RD, ATHOL, ID 83801-8517
(208) 704-6676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013310
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208586
LABOR & INDUSTRIES
WA
Enumeration date
05/11/2007
Last updated
07/08/2007
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