Provider Demographics
NPI:1821867250
Name:KIMANI, MORINE NJOKI
Entity Type:Individual
Prefix:
First Name:MORINE
Middle Name:NJOKI
Last Name:KIMANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 FAWCETT AVE UNIT 706
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-2017
Mailing Address - Country:US
Mailing Address - Phone:610-745-4552
Mailing Address - Fax:
Practice Address - Street 1:1142 FAWCETT AVE UNIT 706
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-2017
Practice Address - Country:US
Practice Address - Phone:610-745-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61356318376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide