Individual provider · NPI-1
Kimberly S. Lindell, PA
Physician Assistant · Medical Lake, WA
NPI number1295095255
StatusActive
Last updated in NPPESMay 18, 2016
Details
- NPI
- 1295095255
- Entity type
- Individual (NPI-1)
- Name
- Kimberly S. Lindell
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2012
- Last updated
- May 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60280792 | WA | Yes |
Other names
- Kimberly S Palanuik (Former Name)
Practice location
850 Maple StreetEastern State Hospital
Medical Lake, WA 99022-0800
Phone 509-565-4000 · Fax 509-565-4203
Mailing address
Po Box 800Eastern State Hospital
Medical Lake, WA 99022-0800
Phone 509-565-4000 · Fax 509-565-4705
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