Healthcare Provider Details

I. General information

NPI: 1225891492
Provider Name (Legal Business Name): NATALIE KIRKSEY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 W MAIN ST.
POMEROY WA
99347-0181
US

IV. Provider business mailing address

PO BOX 181
POMEROY WA
99347-0181
US

V. Phone/Fax

Practice location:
  • Phone: 509-566-7082
  • Fax: 509-418-0782
Mailing address:
  • Phone: 509-566-7082
  • Fax: 509-418-0782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: