Provider Demographics
NPI:1215597133
Name:WHOLE SYSTEMS HEALTHCARE
Entity Type:Organization
Organization Name:WHOLE SYSTEMS HEALTHCARE
Other - Org Name:WHOLE SYSTEMS HEALTHCARE SEATTLE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KYE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEVEN
Authorized Official - Suffix:
Authorized Official - Credentials:ND, EAMP
Authorized Official - Phone:206-531-2717
Mailing Address - Street 1:3301 BURKE AVE N STE 360
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9054
Mailing Address - Country:US
Mailing Address - Phone:206-531-2717
Mailing Address - Fax:833-974-2242
Practice Address - Street 1:3301 BURKE AVE N STE 360
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9054
Practice Address - Country:US
Practice Address - Phone:206-531-2717
Practice Address - Fax:833-974-2242
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHOLE SYSTEMS HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-13
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty