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NPI Code Detail

MEDICARE: KIMBERLY J THOMAS ARNP

MEDICARE: KIMBERLY J THOMAS ARNP
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
1363L00000XNurse PractitionerAP605923393WA
2363LF0000XFamily Nurse PractitionerAP 60592393WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407211683
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY J THOMAS ARNP
Provider Business Mailing Address
First Line : 6002 WESTGATE BLVD STE 230
Second Line :
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-272-8664
Fax Number : 253-779-8364
Provider Business Practice Location Address
First Line : 6002 WESTGATE BLVD STE 230
Second Line :
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-272-8664
Fax Number : 253-779-8364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2015
Last Update Date : 05/09/2023

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Directions to “ KIMBERLY J THOMAS ARNP” Practice Location

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