Kimmeth Jack Irwin JR.

NPI #1124889126 in Pasco, Washington

Provider Information

NPI Number: 1124889126
Entity Type: Individual
Name: Kimmeth Jack Irwin JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 17, 2024
Last Updated: Jan 17, 2024

Practice Location

Address: 1906 N 20TH AVE
City: Pasco
State: Washington
ZIP Code: 99301-3393
Phone: (509) 502-1715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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