Individual provider · Type 1 NPI
Terri Lynn Kilbourne, MA 00004895
Specialist · Enumclaw, WA
NPI number
1508209420
Active
Practice location
1710 Railroad Street, Enumclaw Day Spa
Enumclaw, WA 98022
Mailing address
62408 Forest Glen Way E
Enumclaw, WA 98022-8088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA 00004895 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1508209420
Terri Lynn Kilbourne, MA 00004895's National Provider Identifier is 1508209420, issued on Apr 10, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Enumclaw, WA. The record was last updated on Apr 10, 2013.