Provider Demographics
NPI:1659841823
Name:RAMSDELL, KIRSTEN ALYSE (CN)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:ALYSE
Last Name:RAMSDELL
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12572 CORLISS AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8566
Mailing Address - Country:US
Mailing Address - Phone:206-450-6132
Mailing Address - Fax:
Practice Address - Street 1:1633 BELLEVUE AVE STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6820
Practice Address - Country:US
Practice Address - Phone:206-734-8370
Practice Address - Fax:206-237-0773
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60906188133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist