| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLY BETH CARLSON | 1275255036 | 2022-09-16 |
Kimberly Beth Carlson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275255036. Registration indicates Kimberly Beth Carlson is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Kimberly Beth Carlson RN |
| Practice Office Address | 2589 NE JEWELL LN ISSAQUAH, WA US |
| Practice Office Telephone | 2537208343 |
| Practice Office Fax | 2064562680 |
| Mailing Address | 2589 NE JEWELL LN ISSAQUAH, WA 980297335 US |
| Business Telephone | 2537208343 |
| Business Fax | 2064562680 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN00155908
WA |