NPI 1336599513

Kings Royal Care

Organisation Point of Service Clinton, WA

Practice location

Address: 8141 Lopez Dr, Clinton, WA 98236-9236
Phone: (360) 730-1473
Fax: (360) 331-4474
Mailing address: 16313 NE 80th St, Vancouver, WA 98682-1519

Authorised official

Name: Kimberly Ann King
Title: Caregiver
Phone: (360) 606-8990

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence NC60517152 (WA)

Other Point of Service providers in Washington →

Registry record

NPI: 1336599513
Entity type: Organization
NPI issued: 17 Jun 2016
Record last updated: 17 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.