Healthcare Provider Details
I. General information
NPI: 1578239232
Provider Name (Legal Business Name): KRISTIN BARNES ND, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/20/2021
Last Update Date: 08/20/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5401 LEARY AVE NW
SEATTLE WA
98107-4070
US
IV. Provider business mailing address
5401 LEARY AVE NW STE 202
SEATTLE WA
98107-4070
US
V. Phone/Fax
- Phone: 206-297-6013
- Fax:
- Phone: 206-297-6013
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: