Provider Demographics
NPI:1508463803
Name:KIM LAMPSON PLLC
Entity Type:Organization
Organization Name:KIM LAMPSON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-999-6192
Mailing Address - Street 1:9725 SE 36TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3840
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:206-232-8428
Practice Address - Street 1:9725 SE 36TH ST STE 301
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3840
Practice Address - Country:US
Practice Address - Phone:206-713-3919
Practice Address - Fax:206-232-8428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health