Individual provider · Type 1 NPI

Kimberly Destefano

Licensed Practical Nurse · Kent, WA

NPI number 1104281526 Active

Practice location

27446 151st Pl SE
Kent, WA 98042

Call (509) 945-8288 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP00045273 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104281526

Kimberly Destefano's National Provider Identifier is 1104281526, issued on Dec 30, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kent, WA. The record was last updated on Dec 30, 2015.