Provider Demographics
NPI:1023255288
Name:LINCOLN, KIM CHERI (OB)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:CHERI
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:OB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 CAPITOL MALL DR SW
Mailing Address - Street 2:#A-301
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-8658
Mailing Address - Country:US
Mailing Address - Phone:360-866-9234
Mailing Address - Fax:
Practice Address - Street 1:302 COLUMBIA ST NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1031
Practice Address - Country:US
Practice Address - Phone:360-866-9234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist