Provider Demographics
NPI:1639259922
Name:SHANDLEY, KARI AN (DC)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:AN
Last Name:SHANDLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12305 120TH AVE NE
Mailing Address - Street 2:#A
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6921
Mailing Address - Country:US
Mailing Address - Phone:425-820-2777
Mailing Address - Fax:425-821-5528
Practice Address - Street 1:12305 120TH AVE NE
Practice Address - Street 2:#A
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6921
Practice Address - Country:US
Practice Address - Phone:425-820-2777
Practice Address - Fax:425-821-5528
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor