KIMBERLY JOY KINNEBREW (NPI# 1437186889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437186889 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOY KINNEBREW |
| Credential | PA-C |
| Practice Address |
21137 Sr 410 E Ste I Bonney Lake WA 98391-8775 |
| Practice Telephone | 2538625275 |
| Practice Fax Number | 8556731403 |
| Mailing Telephone | 2538625275 |
| Mailing Fax Number | 8556731403 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60953898 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
408 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3841 Piper Street, Suite T4-020, Anchorage, AK 99508 | 9076468500 | 9076469760 |
| Street Address |
21137 SR 410 E STE I |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-8775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346394491 | Scott B Ahrndt | Physician Assistant | 21137 Sr 410 E Ste I, Bonney Lake, WA 98391-8775 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982765616 | Willie F Binion | Physician Assistant | 10004 204th Ave E # 1200, Bonney Lake, WA 98391-6539 | 2006-12-13 |
| 1467950782 | Zachary Adam Sullivan | Physician Assistant | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2018-02-01 |
| 1740564798 | Lisa Marie Gail | Physician Assistant | 10004 204th Ave E, # 1200, 3400, Bonney Lake, WA 98391-6539 | 2011-10-07 |
| 1992859045 | Garry Gregory | Physician Assistant | 10004 204th Ave E, #1200, Bonney Lake, WA 98391-6539 | 2007-01-23 |
| 1346394491 | Scott B Ahrndt | Physician Assistant | 21137 Sr 410 E Ste I, Bonney Lake, WA 98391-8775 | 2007-01-23 |
| 1598820508 | Daniel J Hahn | Physician Assistant | 10004 204th Ave E # 1200, Bonney Lake, WA 98391-6539 | 2006-12-27 |
| 1013949452 | Brandon Alan Swisher | Physician Assistant | 10004 204th Ave E, #1200, Bonney Lake, WA 98391-6539 | 2006-07-07 |
| 1427087378 | Cheron L. Wittman | Physician Assistant | 10004 204th Ave E, Ste 2200, Bonney Lake, WA 98391-6539 | 2006-07-02 |
| 1619915261 | Sonya A Cottrell | Physician Assistant | 10004 204th Ave E, # 3400, Bonney Lake, WA 98391-6539 | 2006-06-04 |
| 1003873621 | Don Massey | Physician Assistant | 10004 204th Ave E, #1200, Bonney Lake, WA 98391-6539 | 2006-04-27 |
| Find all providers in BONNEY LAKE | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
Please comment or provide details below to improve the information on KIMBERLY JOY KINNEBREW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.