Kimberly K. Bartholomew, D.C.
Individual provider Active NPI Chiropractor · Kamiah, ID
NPI 1740313808 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1740313808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA-688 (ID)
- Practice address
- 402 Main Street
Kamiah, ID 83536-9700 - Phone
- (208) 935-0342
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-688 | ID | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-688 | ID | Yes |
| Chiropractor | 111N00000X | 701 | MT |
Addresses
Primary practice location
402 Main Street
Kamiah, ID 83536-9700
Mailing address
PO Box 147
Kamiah, ID 83536-0147
Phone (208) 935-0342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000534800 | Medicaid | ID |
Other providers in Kamiah, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.