Healthcare Provider Details

I. General information

NPI: 1548049257
Provider Name (Legal Business Name): JULIA KUEBELBECK ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 STONE WAY N STE 300
SEATTLE WA
98103-8099
US

IV. Provider business mailing address

4010 STONE WAY N STE 300
SEATTLE WA
98103-8099
US

V. Phone/Fax

Practice location:
  • Phone: 206-801-1741
  • Fax: 206-456-2764
Mailing address:
  • Phone: 206-801-1741
  • Fax: 206-456-2764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: