Private Healthcare Facilities

Specialty details in registry · Kirkland, WA

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At a glance

11460 109Th Ave Ne, Kirkland, WA 98033-4501

NPPES record updated Jun 9, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

11460 109Th Ave Ne
Kirkland, WA 98033-4501

Professional details: NPI, taxonomy & registry record

NPI1134715170

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QB0400X
Enumeration date: Dec 14, 2020
Record updated: Jun 9, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QB0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11460 109Th Ave Ne
Kirkland, WA 98033-4501

Phone: (866) 996-2340

Mailing address

902 KITTY HAWK RD # 170487

UNIVERSAL CITY, TX 781483825

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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