Kami L Copenhaver, RDH

Individual provider Active NPI Dental Hygienist · Chelan, WA

NPI 1629414362 · NPPES record last updated May 21, 2013

Key facts

NPI
1629414362
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH00007312 (WA)
Practice address
317 E Johnson Ave
Box 2920
Chelan, WA 98816-2920
Phone
(509) 682-6000
Fax
(509) 682-6296
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DH00007312WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Valley Community Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00007312 WA Yes

Addresses

Primary practice location

317 E Johnson Ave
Box 2920
Chelan, WA 98816-2920

Mailing address

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-3860

Other providers in Chelan, WA

All providers in Chelan, WA · Dental Hygienist in Washington

Sources for this page

Verify at the official NPI Registry.