Organization
COMPREHENSIVE FAMILY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE K KIMURA MD (OWNER)
(509) 765-1602
Entity
Organization
Contact information
Practice address
821 E BROADWAY, SUITE 1, MOSES LAKE, WA 98837
(509) 765-1602
Mailing address
821 E BROADWAY, SUITE 1, MOSES LAKE, WA 98837
(509) 765-1602
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1125855
—
WA
Enumeration date
07/21/2008
Last updated
07/02/2012
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