Healthcare Provider Details

I. General information

NPI: 1992282008
Provider Name (Legal Business Name): KIMANI BORLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMANI MCDONALD ND

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 07/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15650 NE 24TH ST STE A
BELLEVUE WA
98008-2460
US

IV. Provider business mailing address

224 9TH AVE
KIRKLAND WA
98033-5524
US

V. Phone/Fax

Practice location:
  • Phone: 425-505-2745
  • Fax:
Mailing address:
  • Phone: 435-305-9149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: