Individual
KIM ELIZABETH PRUESS NEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 NW GILMAN BLVD, SUITE 301A, ISSAQUAH, WA 98027-2483
(425) 391-0313
(425) 837-8501
Mailing address
PO BOX 1225, ISSAQUAH, WA 98027-0047
(425) 391-0313
(425) 837-8501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00038616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160710
DEPT OF L & I
WA
01
—
110235772
RAILROAD MEDICARE
—
05
—
1116037
—
WA
01
—
6232PR
REGENCE BLUE SHIELD
WA
Enumeration date
01/18/2006
Last updated
05/31/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us