Provider Demographics
NPI:1083943971
Name:JAMES, KIM PALENA (CD(DONA), ICCE, LCCE)
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:PALENA
Last Name:JAMES
Suffix:
Gender:F
Credentials:CD(DONA), ICCE, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6012 SYCAMORE AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2041
Mailing Address - Country:US
Mailing Address - Phone:206-297-0451
Mailing Address - Fax:
Practice Address - Street 1:6012 SYCAMORE AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2041
Practice Address - Country:US
Practice Address - Phone:206-297-0451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula