Provider Demographics
NPI:1437891520
Name:GEORGES, KIM K (ND)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:K
Last Name:GEORGES
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 N 10TH ST STE A-377
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5683
Mailing Address - Country:US
Mailing Address - Phone:347-712-8133
Mailing Address - Fax:
Practice Address - Street 1:4300 TALBOT RD S STE 101
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6238
Practice Address - Country:US
Practice Address - Phone:425-363-9399
Practice Address - Fax:425-363-9388
Is Sole Proprietor?:No
Enumeration Date:2022-04-10
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath