Provider Demographics
NPI:1689942245
Name:KIRIATY, ADI (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:ADI
Middle Name:
Last Name:KIRIATY
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20923 NE 44TH ST
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-9349
Mailing Address - Country:US
Mailing Address - Phone:425-285-9590
Mailing Address - Fax:
Practice Address - Street 1:20923 NE 44TH ST
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-9349
Practice Address - Country:US
Practice Address - Phone:425-285-9590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA11169441174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN