Healthcare Provider Details

I. General information

NPI: 1740314525
Provider Name (Legal Business Name): DAWN KYLE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 03/24/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25102 104TH AVE SE SUITE 12-E
KENT WA
98030
US

IV. Provider business mailing address

10002 AURORA AVE N PMB 2284
SEATTLE WA
98133-9347
US

V. Phone/Fax

Practice location:
  • Phone: 206-235-9347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034116
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHOOO34116
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: