Healthcare Provider Details

I. General information

NPI: 1245596154
Provider Name (Legal Business Name): KIMBERLY A FOLEY MD, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 W GARLAND AVE UNIT 9414
SPOKANE WA
99209-0018
US

IV. Provider business mailing address

PO BOX 257 PMB 12310
OLYMPIA WA
98507-0257
US

V. Phone/Fax

Practice location:
  • Phone: 509-344-9398
  • Fax:
Mailing address:
  • Phone: 509-344-9398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13273-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberR4639
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: