Provider Demographics
NPI:1518747476
Name:KIRKLAND HEALTH & WELLNESS PLLC
Entity Type:Organization
Organization Name:KIRKLAND HEALTH & WELLNESS PLLC
Other - Org Name:KIRKLAND HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-604-8911
Mailing Address - Street 1:13023 84TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2658
Mailing Address - Country:US
Mailing Address - Phone:206-604-8911
Mailing Address - Fax:866-341-1092
Practice Address - Street 1:13110 NE 177TH PL STE B102
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-5742
Practice Address - Country:US
Practice Address - Phone:425-900-2872
Practice Address - Fax:866-341-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty