MEDICARE: KRISTINE FLINKFELT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide		WA

General Provider Information

NPI Number	:	1861687493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE FLINKFELT

Provider Business Mailing Address
First Line	:	4004 WIGGINS RD SE APT 1
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-4402
Country	:	US
Telephone Number	:	360-970-7872
Fax Number	:

Provider Business Practice Location Address
First Line	:	4004 WIGGINS RD SE APT 1
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-4402
Country	:	US
Telephone Number	:	360-970-7872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	02/05/2009

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Directions to “ KRISTINE FLINKFELT ” Practice Location

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