Provider Demographics
NPI:1689249484
Name:KVINNA CARE, LLC
Entity Type:Organization
Organization Name:KVINNA CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BALIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-830-4662
Mailing Address - Street 1:1334 N WHITMAN LN STE 202
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-6034
Mailing Address - Country:US
Mailing Address - Phone:509-960-5550
Mailing Address - Fax:509-474-1958
Practice Address - Street 1:1334 N WHITMAN LN STE 202
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-6034
Practice Address - Country:US
Practice Address - Phone:509-960-5550
Practice Address - Fax:509-474-1958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty