Charlene Kimball, LMP

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA00009115 Issued in WA

Practice address

9501 State Ave
Marysville, WA 98270-2235

Phone

(425) 308-2933

NPI assigned

Feb 1, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Charlene Kimball Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233446400000",
    "number": "1578701355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29007 2ND AVE NW",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982239135",
            "telephone_number": "425-308-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702235",
            "telephone_number": "425-308-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "CHARLENE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-01",
        "last_updated": "2009-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA00009115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "KIMBALL",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carol Kerr-Ragan, R.N.
• Debbie Ketchum, LMP
• Efrem T Kidane
• Amy Y Kim, PA-C
• Angela Danna Kimball, PHARM.D
• Kin Care Transportation LLC
• Leena L King, DMD
• Renee M King, RN
• Josette Kirby
• Tyler Peter Klein, D.O.

• Contractor in Marysville, WA
• Providers in Marysville, WA by specialty
• Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.