Healthcare Provider Details

I. General information

NPI: 1750217501
Provider Name (Legal Business Name): REBEKAH KIMMINAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 E 11TH AVE
SPOKANE WA
99202-3507
US

IV. Provider business mailing address

1713 E 11TH AVE
SPOKANE WA
99202-3507
US

V. Phone/Fax

Practice location:
  • Phone: 703-582-5212
  • Fax:
Mailing address:
  • Phone: 703-582-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-309557
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: