Healthcare Provider Details

I. General information

NPI: 1962734145
Provider Name (Legal Business Name): ANNA JEAN KRAUTHOEFER EAMP, ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 07/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8529 124TH AVE NE
KIRKLAND WA
98033
US

IV. Provider business mailing address

8529 124TH AVE NE
KIRKLAND WA
98033-5857
US

V. Phone/Fax

Practice location:
  • Phone: 425-803-2050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60069149
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: