Healthcare Provider Details

I. General information

NPI: 1891262077
Provider Name (Legal Business Name): KIM KARE GERIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 PIPER ST
RICHLAND WA
99352-8703
US

IV. Provider business mailing address

6855 W CLEARWATER AVE STE A101
KENNEWICK WA
99336-5013
US

V. Phone/Fax

Practice location:
  • Phone: 509-980-1591
  • Fax:
Mailing address:
  • Phone: 509-980-1591
  • Fax: 509-350-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY JANE MILLER DO
Title or Position: PHYSICIAN
Credential: DO
Phone: 509-980-1411