Healthcare Provider Details

I. General information

NPI: 1851629463
Provider Name (Legal Business Name): KIMBERLY LYNN KING N.D., LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2009
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20712 86TH PL W
EDMONDS WA
98026-6617
US

IV. Provider business mailing address

20712 86TH PL W
EDMONDS WA
98026-6617
US

V. Phone/Fax

Practice location:
  • Phone: 206-790-9370
  • Fax: 206-790-9370
Mailing address:
  • Phone: 206-790-9370
  • Fax: 206-790-9370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60040171
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60060013
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: