Healthcare Provider Details

I. General information

NPI: 1205142239
Provider Name (Legal Business Name): KIRA BAUM N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 14TH AVE NW
SEATTLE WA
98107-3723
US

IV. Provider business mailing address

5600 14TH AVE NW STE 1
SEATTLE WA
98107-3723
US

V. Phone/Fax

Practice location:
  • Phone: 206-919-0175
  • Fax: 206-567-9797
Mailing address:
  • Phone: 206-919-0175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60172096
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60167872
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: