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MS. KIMBERLY LYNN FUNCHESS PA NPI 1639159189


NPI Information

NPI: 1639159189
Provider Name: MS. KIMBERLY LYNN FUNCHESS, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
19500 10TH AVE NE
SUITE 100
POULSBO, WA
ZIP 98370
Phone: (360) 598-7500
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MS. Kimberly Lynn Funchess, PA is a physician assistant in Poulsbo, WA. The provider is 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. MS. Kimberly Lynn Funchess, PA NPI is 1639159189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19500 10TH AVE NE
SUITE 100
POULSBO, WA
ZIP 98370-553
Phone: (360) 598-7500
Fax: (360) 598-7505

The enumeration date for this NPI number is 1/19/2006 and was last updated on 2/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant3343ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1985608MEDICAIDARIZONA
2PA60322657OTHERWASHINGTONWASHINGTON STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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